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4WW-23498-87843

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
797 / TX
Registered
2021-01-07
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-07
    Registered in v-safe
  2. 2021-01-07
    Dose 1 — Moderna
  3. 2021-01-07
    Survey response — day 0, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Mild soreness on upper arm of treatment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Right upper arm is sore
    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: Good · None
    Adult check-in
  6. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-05
    Dose 2 — Moderna
  14. 2021-02-05
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  16. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Chills, Diarrhoea, Fatigue, Nausea, Pain in extremity, Taste disorder — Feeling: Good
    Free text: Not today but on day of 2nd dose arm was severely sore and next day was nauseous mild, diarrhea, cold chills, taste was affected mildly , tired and body weakness , all this only lasted for the day after only and after this day everything went back to normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  19. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-05
    Survey response — 12 months, dose 2
    MedDRA: Malaise, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · 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: Covid positive test result 01/25/2022 and 01/27/2022 , symptoms start on 01/25/2022 · Healthcare visit (other): Scheduled surgery for vaginoplasty and breast augmentation
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-02-05
    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)
  28. 2022-03-30
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-05Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): Mild soreness on upper arm of treatment

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Right upper arm is sore

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Not today but on day of 2nd dose arm was severely sore and next day was nauseous mild, diarrhea, cold chills, taste was affected mildly , tired and body weakness , all this only lasted for the day after only and after this day everything went back to normal.

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Covid positive test result 01/25/2022 and 01/27/2022 , symptoms start on 01/25/2022
Healthcare visit (other): Scheduled surgery for vaginoplasty and breast augmentation

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 · · ✓
SDMalaise · · ✓
SDSARS-CoV-2 test positive · · ✓
SROAsthenia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓

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