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4RG-50866-68344

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
121 / NY
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Registered in v-safe
  2. 2021-02-11
    Dose 1 — Moderna
  3. 2021-02-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-27
    Survey response — day 14, dose 1
    MedDRA: Erythema, Fatigue, Feeling hot, Pain in extremity — Feeling: Good
    Free text: Friday the 19th my arm started to hurt, not too bad but more than it had hurt before. I was also pretty tired. On Saturday the 20th i had a large red swollen circle on my arm, hot to the touch. It only lasted 2 days. Fine since then.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-11
    Dose 2 — Moderna
  14. 2021-03-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  15. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  17. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heavy menstrual bleeding, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Heavy, heavy, heavy menstruation. Day three, this is not normal for me. I will contact dr. tomorrow. · Healthcare visit (other): Havent had care yet, will follow up tomorrow.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-15
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-10
    Survey response — day 28, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: Ive gotten dizzy a few times, but nothing serious.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-09
    Survey response — 6 months, dose 2
    MedDRA: Tremor — Feeling: Fair
    Free text: My husband got the first Moderna shot and now has fits of uncontrollable shakes. Please contact him. (b)(6)
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-20
  29. 2021-12-23

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna

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 4 — day 14, dose 1

2021-02-27

Symptoms: Friday the 19th my arm started to hurt, not too bad but more than it had hurt before. I was also pretty tired. On Saturday the 20th i had a large red swollen circle on my arm, hot to the touch. It only lasted 2 days. Fine since then.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Dizziness

2021-03-15

Systemic reaction (other): Heavy, heavy, heavy menstruation. Day three, this is not normal for me. I will contact dr. tomorrow.
Healthcare visit (other): Havent had care yet, will follow up tomorrow.

Release 7 — day 28, dose 2

2021-04-10

Symptoms: Ive gotten dizzy a few times, but nothing serious.

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: My husband got the first Moderna shot and now has fits of uncontrollable shakes. Please contact him. (b)(6)
redacted (b)(6)

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 ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDTremor · · ✓
SRODizziness ✓ ✓ ✓
SROHeavy menstrual bleeding ✓ ✓ ✓

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