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4JL-26368-12709

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
327 / FL
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Registered in v-safe
  2. 2021-04-06
    Dose 1 — Moderna
  3. 2021-04-06
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  6. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-21
    Survey response — day 14, dose 1
    MedDRA: Migraine, Pre-existing disease — Feeling: Fair
    Free text: Had a migraine headache on April 19, could be unrelated as Ive had migraines before, though I do not have them frequently.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-27
    Survey response — day 21, dose 1
    MedDRA: Anxiety, Dizziness, Headache, Paraesthesia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Have had recurring headache, pins and needles feeling in left hand and foot. Some lightheadedness and anxiety. · Healthcare visit (other): Have a doctors appointment tomorrow, have not gone yet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-27
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-05-04
    Dose 2 — Moderna
  15. 2021-05-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  17. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Chest pain, Pain, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Had very severe back pain last evening, was kind of radiating into my chest. Has eased up with ibuprofen and rest.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Malaise — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Feeling unwell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-08-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna
22021-05-04Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Had a migraine headache on April 19, could be unrelated as Ive had migraines before, though I do not have them frequently.

Release 8 — day 21, dose 1

2021-04-27

Symptoms: Have had recurring headache, pins and needles feeling in left hand and foot. Some lightheadedness and anxiety.
Healthcare visit (other): Have a doctors appointment tomorrow, have not gone yet.

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Had very severe back pain last evening, was kind of radiating into my chest. Has eased up with ibuprofen and rest.

2021-05-07

Systemic reaction (other): Feeling unwell

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 ✓ ✓ ✓
SDAnxiety ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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