4HE-41388-12335
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 657 / MO
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Dose 1 — Moderna
-
2021-04-06
Registered in v-safe
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2021-04-06
Dose 2 — Moderna
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2021-04-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body achesAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-04-11
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2021-04-16
Survey response — day 7, dose 2MedDRA: Gingival swelling, Urticaria — Feeling: GoodFree text: Swollen gums. Dentist cleaned teeth, but unsure why. Had hives after first injection, but but second.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 14, dose 2MedDRA: Ear pain — Feeling: GoodFree text: Earache for 4 days now but no congestion or sinus issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
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2021-05-06
Survey response — day 28, dose 2MedDRA: Noninfective gingivitis — Feeling: GoodFree text: Continued gum inflammation. Dental cleaning and an exam recently noticed the same but cause unknown to dentist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
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2021-07-06
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: My daughter and I caught a bad cold that lingered for a couple of weeks. Havent been sick in more than a year, but hit us pretty bad. Due to vaccination did not take a Covid test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2022-04-06
Survey response — 12 months, dose 2MedDRA: Malaise, Nasopharyngitis, Viral infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sick 2 times with cold viruses.MedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): Swollen gums. Dentist cleaned teeth, but unsure why. Had hives after first injection, but but second.
Release 7 — day 14, dose 2
Symptoms: Earache for 4 days now but no congestion or sinus issues
Release 8 — day 28, dose 2
Symptoms: Continued gum inflammation. Dental cleaning and an exam recently noticed the same but cause unknown to dentist.
Release 9 — 3 months, dose 2
Symptoms: My daughter and I caught a bad cold that lingered for a couple of weeks. Havent been sick in more than a year, but hit us pretty bad. Due to vaccination did not take a Covid test.
Release 11 — 12 months, dose 2
Symptoms: Sick 2 times with cold viruses.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Noninfective gingivitis | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Gingival swelling | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release