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4MC-27528-36374

2 vaccinations 3 coded responses 16 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
800 / CO
Registered
2021-02-12
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-06
    Dose 1 — Moderna
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  4. 2021-02-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-20
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Headache, Injection site induration, Injection site warmth, Pain, Pain in extremity, Rash — Feeling: Fair · 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: My arm started to hurt a week after I received my shot. I had a really bad rash. It was hard around the shot area and was warm to the touch. My body felt achy and I had low energy. I also had a headache for several days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-20
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-27
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea, Fatigue, Headache, Tenderness — Feeling: Fair
    Free text: Shortness of breath Headache Tired Fatigued Tender arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-06
    Dose 2 — Moderna
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-03-13
    Survey response — day 7, dose 2
    MedDRA: Facial pain, Headache, Pain, Self-medication — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Just that Ive had a really bad headache that has t gone away in a week. Ive taken Tylenol but it doesnt seem to help.. The left side of my face hurts and temple.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-13
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-16
  21. 2021-09-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-03-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna
22021-03-06Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-20

Symptoms: My arm started to hurt a week after I received my shot. I had a really bad rash. It was hard around the shot area and was warm to the touch. My body felt achy and I had low energy. I also had a headache for several days.

Release 4 — day 21, dose 1

2021-02-27

Symptoms: Shortness of breath Headache Tired Fatigued Tender arm

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): Just that Ive had a really bad headache that has t gone away in a week. Ive taken Tylenol but it doesnt seem to help.. The left side of my face hurts and temple.

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
SDAsthenia ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site induration ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SROFacial pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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