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4KG-10812-41460

3 vaccinations 10 coded responses 42 check-ins 10 free-text entries 3 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
984 / WA
Registered
2021-05-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-05
    Registered in v-safe
  2. 2021-05-05
    Dose 1 — Moderna
  3. 2021-05-05
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Paraesthesia oral — Feeling: Good
    Free text: Slight tingling on vax side of tongue at about 45 min post shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  6. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  7. 2021-05-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-19
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Good
    Free text: On 5/14, 9 days after my shot & several days after my initial arm reaction went away, it came back! A red splotch ~2 in diameter, warm, raised, and itchy/sore, just like the first time. I googled & found covid arm? Think it was that. Gone again!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-02
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-06-04
    Dose 2 — Moderna
  15. 2021-06-04
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-06-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Swelling
    Free text: Warmth at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Swelling
    Free text: Heat at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-06-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-06-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-06-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-02
    Survey response — day 28, dose 2
    MedDRA: Abdominal discomfort, Abdominal distension, Abdominal pain lower, Induration, Unevaluable event — Feeling: Fair · Be unable to work or attend school, 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: Lower abdominal pain/swelling/hardness, acute pain primarily lower left lasting 3 days; hopefully attributed to GI distress; Dr appt scheduled for 7/5 · Healthcare visit (other): Appt scheduled for 7/5
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-02
    Report sent to call center — day 28, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  27. 2021-07-08
  28. 2021-07-09
    Survey response — day 35, dose 2
    MedDRA: Abdominal pain, Office visit, Ovarian mass, Ultrasound scan abnormal — 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: I went to the Dr on 7/5 for abdominal pain. I had a battery of blood and urine tests, which all came back normal. I had an ultrasound, and I have a large mass growing from my rt ovary.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-07-09
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-07-14
  31. 2021-07-16
    Survey response — day 42, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Unrelated to covid; possible tumor on ovary, having full hysterectomy 7/26
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  32. 2021-07-16
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  33. 2021-07-23
  34. 2021-09-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  35. 2021-12-03
    Survey response — 6 months, dose 2
    MedDRA: Cough, Influenza, Malaise, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I was sick for about a week recently (sore throat, runny nose, sinus congestion, fever, cough), but it was just a cold/flu; I tested negative for covid
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-10
    Dose 3 — Moderna
  37. 2021-12-10
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  38. 2021-12-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Hypersomnia, Injection site warmth — Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea
    Free text: Heat at injection site; not feeling fatigue or tiredness, but slept 12 hours last night
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  40. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  41. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Nausea, Abdominal pain
    Adult check-in
  42. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Nausea, Diarrhea, Abdominal pain
    Adult check-in
  43. 2021-12-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  44. 2021-12-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  45. 2021-12-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  46. 2021-12-31
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-01-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  48. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  49. 2022-01-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  50. 2022-03-12
    Survey response — 3 months, dose 3
    MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good
    Free text: I got sick a while ago, with some mild covid-like symptoms, but got tested and was negative.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-06-10
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  52. 2022-12-12
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-05Moderna
22021-06-04Moderna
32021-12-10Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-05

Systemic reaction (other): Slight tingling on vax side of tongue at about 45 min post shot

Release 8 — day 14, dose 1

2021-05-19

Symptoms: On 5/14, 9 days after my shot & several days after my initial arm reaction went away, it came back! A red splotch ~2 in diameter, warm, raised, and itchy/sore, just like the first time. I googled & found covid arm? Think it was that. Gone again!

Release 8 — days 1–6 daily, dose 2

2021-06-05

Systemic reaction (other): Warmth at injection site

2021-06-06

Systemic reaction (other): Heat at injection site

Release 9 — day 28, dose 2

2021-07-02

Symptoms: Lower abdominal pain/swelling/hardness, acute pain primarily lower left lasting 3 days; hopefully attributed to GI distress; Dr appt scheduled for 7/5
Healthcare visit (other): Appt scheduled for 7/5

Release 9 — day 35, dose 2

2021-07-09

Symptoms: I went to the Dr on 7/5 for abdominal pain. I had a battery of blood and urine tests, which all came back normal. I had an ultrasound, and I have a large mass growing from my rt ovary.

Release 9 — day 42, dose 2

2021-07-16

Symptoms: Unrelated to covid; possible tumor on ovary, having full hysterectomy 7/26

Release 10 — 6 months, dose 2

2021-12-03

Symptoms: I was sick for about a week recently (sore throat, runny nose, sinus congestion, fever, cough), but it was just a cold/flu; I tested negative for covid

Release 10 — days 1–6 daily, dose 3

2021-12-11

Systemic reaction (other): Heat at injection site; not feeling fatigue or tiredness, but slept 12 hours last night

Release 11 — 3 months, dose 3

2022-03-12

Symptoms: I got sick a while ago, with some mild covid-like symptoms, but got tested and was 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
HCVOUnevaluable event ✓ ✓ ✓
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal distension ✓ ✓ ✓
SDAbdominal pain ✓ ✓ ✓
SDAbdominal pain lower ✓ ✓ ✓
SDCough · · ✓
SDInduration ✓ ✓ ✓
SDInfluenza · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDMalaise · · ✓
SDNasopharyngitis · · ✓
SDOffice visit ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDOvarian mass ✓ ✓ ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinus congestion · · ✓
SDUltrasound scan abnormal ✓ ✓ ✓
SDUnevaluable event ✓ · ✓
SROHypersomnia · · ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓

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

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