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4MM-10634-32777

2 vaccinations 4 coded responses 18 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
125 / NY
Registered
2020-12-24
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-24
    Registered in v-safe
  2. 2020-12-24
    Dose 1 — Moderna
  3. 2020-12-24
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Fever · Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  5. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-08
    Survey response — day 14, dose 1
    MedDRA: Erythema, Skin warm, Swelling — Feeling: Good
    Free text: I noticed a raised, red and hot to touch with NO itching or pain on 1/1 which was a week after the vaccination (but please note from the initial injection to about a day and a half after I only had a mild red area).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-21
    Dose 2 — Moderna
  12. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea, Headache, Pyrexia, Self-medication — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: These are from today. The symptoms from the day (1/22)after were more severe inlduing headache mild fever and diarrhea but were resolved with Tylenol and OTC anti diarrhea pills
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  14. 2021-01-28
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  15. 2021-02-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-26
    Survey response — day 35, dose 2
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Cold type symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-01-24
    Survey response — 12 months, dose 2
    MedDRA: Emergency care, Loss of consciousness — 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
    Free text: Symptoms: Passed out · Healthcare visit (other): Ems
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-01-24
    Report sent to call center — 12 months, 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)
  23. 2022-01-27
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12020-12-24Moderna
22021-01-21Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-08

Symptoms: I noticed a raised, red and hot to touch with NO itching or pain on 1/1 which was a week after the vaccination (but please note from the initial injection to about a day and a half after I only had a mild red area).

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): These are from today. The symptoms from the day (1/22)after were more severe inlduing headache mild fever and diarrhea but were resolved with Tylenol and OTC anti diarrhea pills

Release 4 — day 35, dose 2

2021-02-26

Symptoms: Cold type symptoms

Release 11 — 12 months, dose 2

2022-01-24

Symptoms: Passed out
Healthcare visit (other): Ems

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
HCVOEmergency care · · ✓
SDErythema ✓ ✓ ✓
SDLoss of consciousness · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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