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4DV-32458-73814

2 vaccinations 3 coded responses 26 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
787 / TX
Registered
2021-02-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Registered in v-safe
  2. 2021-02-26
    Dose 1 — Moderna
  3. 2021-02-26
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-14
    Survey response — day 14, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Covid arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-26
    Dose 2 — Moderna
  14. 2021-03-26
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Sore arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  18. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-03-26
    Survey response — 12 months, dose 2
    MedDRA: Ovarian cyst — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Ovarian cyst
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-03-26
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  31. 2022-03-29

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-03-26 Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Covid arm

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Sore arm

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Ovarian cyst

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDOvarian cyst · · ✓
SDUnevaluable event ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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