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4F7-30690-66947

1 vaccination 2 coded responses 7 check-ins 2 free-text entries 2 call cases
Sex
—
Age at first dose
46-50
ZIP prefix
920 / CA
Registered
2021-01-15
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-15
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-03
    Survey response — day 21, dose 1
    MedDRA: Diarrhoea, Headache — Feeling: Fair
    Free text: My headache never go away since I had my first dose of the vaccine. Although it's mild but I never had headaches in years. I also missed to report that I had diarrhea for two days on the 3rd and 4th day after the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-09
    Survey response — day 28, dose 1
    MedDRA: Chills, Fatigue, Office visit, Pain, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: For the last 4 days I have chills and feels achy and tired but NO fever at all. I'm not sure if it's related to vaccine. I went to my doctor and have my urine check and it is normal , NO infection. · Healthcare visit (other): Urine test
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-09
    Report sent to call center — day 28, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-02-16
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-07-16
  12. 2022-01-14
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-02-03

Symptoms: My headache never go away since I had my first dose of the vaccine. Although it's mild but I never had headaches in years. I also missed to report that I had diarrhea for two days on the 3rd and 4th day after the shot.

Release 3 — day 28, dose 1

2021-02-09

Symptoms: For the last 4 days I have chills and feels achy and tired but NO fever at all. I'm not sure if it's related to vaccine. I went to my doctor and have my urine check and it is normal , NO infection.
Healthcare visit (other): Urine test

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
HCVOUnevaluable event ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPain ✓ ✓ ✓

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