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4EV-21205-34489

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
894 / NV
Registered
2021-03-26
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-03-26
    Registered in v-safe
  2. 2021-03-26
    Dose 1 — Moderna
  3. 2021-03-26
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No Im ok
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema — Feeling: Good · Site: Redness
    Free text: No, a little light red where I got the shot. No pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-23
    Dose 2 — Moderna
  14. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-23
    Survey response — 3 months, dose 2
    MedDRA: Erythema, Fatigue, Herpes zoster, Office visit, Pain, Pruritus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Shingles on my left chest and left shoulder itching redness went to doctor had 2 weeks of tablets to take and medication lotion. I also felt tired a little achy. I-am fine now back to normal. · Healthcare visit (other): Outpatient at Walmart clinic
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-07-23
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-08-02
  28. 2021-10-23
    Survey response — 6 months, dose 2
    MedDRA: Herpes zoster, Pre-existing disease — Feeling: Fair
    Free text: Shingles I never had them before started July 2021 by my neck and left chest it almost disappeared then I am starting to feel them again. I will go to a doctor just to get checked.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-26

Systemic reaction (other): No Im ok

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): No, a little light red where I got the shot. No pain

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): No

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Shingles on my left chest and left shoulder itching redness went to doctor had 2 weeks of tablets to take and medication lotion. I also felt tired a little achy. I-am fine now back to normal.
Healthcare visit (other): Outpatient at Walmart clinic

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Shingles I never had them before started July 2021 by my neck and left chest it almost disappeared then I am starting to feel them again. I will go to a doctor just to get checked.

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
HCVOOffice visit ✓ · ✓
SDErythema ✓ · ✓
SDFatigue ✓ · ✓
SDHerpes zoster ✓ · ✓
SDPain ✓ · ✓
SDPre-existing disease · · ✓
SDPruritus ✓ · ✓
SROInjection site erythema ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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

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