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4S9-66307-77632

4 vaccinations 5 coded responses 23 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
930 / CA
Registered
2021-03-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Dose 1 — Moderna
  2. 2021-03-27
    Registered in v-safe
  3. 2021-03-27
    Dose 2 — Moderna
  4. 2021-03-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Swelling · Fatigue or tiredness
    Adult check-in
  5. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Middle insomnia, Pain, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I ached enough after taking Tylenol that I woke up after three hours and couldnt get back to sleep for a couple of hours then slept to almost ten.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness
    Adult check-in
  7. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site
    Free text: I have redness next to but not at the injection site. Thats where it was red yesterday too.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema — Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I noticed both my husband and I had red areas not around the injection location but toward the front of the arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Medical counselling, Rash — Feeling: Good
    Free text: My husband is under doctors care for a rash he got four days after he got his shot. The doctor is not sure of the cause. It has expanded to at least 6 x6 and has started to wrap in the last two days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-09-25
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-11-05
    Dose 3 — Moderna
  18. 2022-03-27
    Survey response — 12 months, dose 2
    MedDRA: Mass excision, Thoracic operation — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: I had thoracic surgery to remove a mass.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-03-27
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  20. 2022-03-31
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  21. 2022-04-18
    Dose 4 — Moderna
  22. 2022-04-27
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  23. 2022-05-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-05-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-05-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-05-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-06-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-07-20
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-10-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  30. 2023-04-21
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-03-27Moderna
32021-11-05Moderna No
42022-04-18Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): I ached enough after taking Tylenol that I woke up after three hours and couldnt get back to sleep for a couple of hours then slept to almost ten.

2021-03-30

Systemic reaction (other): I have redness next to but not at the injection site. Thats where it was red yesterday too.

2021-03-31

Systemic reaction (other): I noticed both my husband and I had red areas not around the injection location but toward the front of the arm.

2021-04-02

Systemic reaction (other): My husband is under doctors care for a rash he got four days after he got his shot. The doctor is not sure of the cause. It has expanded to at least 6 x6 and has started to wrap in the last two days.

Release 11 — 12 months, dose 2

2022-03-27

Symptoms: I had thoracic surgery to remove a mass.

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
SDMass excision · · ✓
SDThoracic operation · · ✓
SROErythema ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓
SROMiddle insomnia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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