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4Q6-24370-65220

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
857 / AZ
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-06
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Redness, Swelling · None
    Adult check-in
  4. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Joint pains, Fatigue or tiredness
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  6. 2021-01-13
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-01-21
    Survey response — day 14, dose 1
    MedDRA: Headache, Pain, Self-medication — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Woke with a terrific headache, which has not gone away with Tylenol, also having some body aches, but only since headache which started 10 hours ago. Had to work due to no one to take my position this evening.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-03
    Dose 2 — Moderna
  10. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-03-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-04
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain lower, Back pain, Groin pain, Office visit, Renal disorder — Feeling: Poor · 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: Kidney problems, right side lower back going to the front to my groan area, excruciating pain on Monday morning, could be passed a kidney stone, have Drs appointment on Thursday 8/5/21 at 11am. · Healthcare visit (other): Doctors Office
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-08-04
    Report sent to call center — 6 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)
  24. 2021-08-16

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): None

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Woke with a terrific headache, which has not gone away with Tylenol, also having some body aches, but only since headache which started 10 hours ago. Had to work due to no one to take my position this evening.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Shortness of breath

2021-02-06

Systemic reaction (other): No

2021-02-07

Systemic reaction (other): No

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Kidney problems, right side lower back going to the front to my groan area, excruciating pain on Monday morning, could be passed a kidney stone, have Drs appointment on Thursday 8/5/21 at 11am.
Healthcare visit (other): Doctors Office

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
HCVOOffice visit ✓ · ✓
SDAbdominal pain lower ✓ · ✓
SDBack pain ✓ · ✓
SDGroin pain ✓ · ✓
SDHeadache ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDRenal disorder ✓ · ✓
SDSelf-medication ✓ · ✓
SRODyspnoea ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

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

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