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4JY-56970-77335

3 vaccinations 3 coded responses 39 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
201 / VA
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
Y9X-18962-53191 Child or adolescent in my care · Female · 2021-11-13

Timeline

  1. 2021-02-28
    Dose 1 — Moderna
  2. 2021-03-01
    Registered in v-safe
  3. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  8. 2021-03-07
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  9. 2021-03-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-21
    Survey response — day 21, dose 1
    MedDRA: Menstrual disorder, Pain in extremity, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Rash on chest, knee & top of foot pain Maybe completely unrelated, reporting anyway. Also, when I looked at a calendar I discovered that I started my menstrual period a full week early, & it started on the same day that I got my 1st shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-21
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-28
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-29
    Dose 2 — Moderna
  14. 2021-03-29
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  16. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site
    Adult check-in
  17. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Nausea, Rash, not including the immediate area around the injection site
    Adult check-in
  18. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  20. 2021-04-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-19
    Survey response — day 21, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-01
    Dose 3 — Moderna
  29. 2021-11-01
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  30. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  31. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Chills
    Adult check-in
  33. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  35. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  36. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-30
  43. 2022-01-31
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-05-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-11-03
    Survey response — 12 months, dose 3
    MedDRA: Malaise, Quarantine, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school
    Free text: About a week after my booster I had what I thought was a bad cold. Tested for COVID and it was positive. I isolated for 5 days until my symptoms were gone and I was testing negative.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-28Moderna
22021-03-29Moderna
32021-11-01Moderna No

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 6 — day 21, dose 1

2021-03-21

Symptoms: Rash on chest, knee & top of foot pain Maybe completely unrelated, reporting anyway. Also, when I looked at a calendar I discovered that I started my menstrual period a full week early, & it started on the same day that I got my 1st shot.

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Sore throat

Release 12 — 12 months, dose 3

2022-11-03

Symptoms: About a week after my booster I had what I thought was a bad cold. Tested for COVID and it was positive. I isolated for 5 days until my symptoms were gone and I was testing negative.

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
SDMalaise · · ✓
SDMenstrual disorder ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDQuarantine · · ✓
SDRash ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDSARS-CoV-2 test positive · · ✓

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

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