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4XQ-57125-12615

4 vaccinations 4 coded responses 32 check-ins 3 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
493 / MI
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-09
    Dose 2 — Moderna
  13. 2021-02-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  16. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  17. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-02
    Survey response — day 21, dose 2
    MedDRA: Dizziness, Oral herpes — Feeling: Good
    Free text: Momentary dizziness for about 4 weeks finally gone no correlation to hypotension or ear. Cold sores for 4 weeks after now gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-09
    Survey response — day 28, dose 2
    MedDRA: Dizziness, Neck pain, Pain in jaw — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Painful neck nodes and under mid jaw. Pain temple to ear, both I/l jaw to neck on right. Felt like shingles as I had many years ago on my r temple. I had 4 weeks of momentary dizziness now gone... no relation to hypotension, no, ears.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-09
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-08-18
    Dose 3 — Moderna
  30. 2021-11-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-27
  32. 2021-11-27
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  33. 2022-02-16
    Survey response — 6 months, dose 3
    MedDRA: Cough, Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Upper respiratory, cough, tired. 2 werks
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-02-16
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  35. 2022-02-17
  36. 2022-03-14
    Dose 4 — Moderna
  37. 2022-04-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-04-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-04-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-15
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-09-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  42. 2023-03-18
    Survey response — 12 months, dose 4
    MedDRA: Respiratory syncytial virus infection — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    MedDRA releases: 2024-11
  43. 2023-03-18
    Report sent to call center — 12 months, dose 4
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  44. 2023-03-20
  45. 2023-03-20
  46. 2023-03-20
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  47. 2023-03-20
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna
32021-08-18Moderna No
42022-03-14Moderna No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 21, dose 2

2021-03-02

Symptoms: Momentary dizziness for about 4 weeks finally gone no correlation to hypotension or ear. Cold sores for 4 weeks after now gone.

Release 5 — day 28, dose 2

2021-03-09

Symptoms: Painful neck nodes and under mid jaw. Pain temple to ear, both I/l jaw to neck on right. Felt like shingles as I had many years ago on my r temple. I had 4 weeks of momentary dizziness now gone... no relation to hypotension, no, ears.

Release 11 — 6 months, dose 3

2022-02-16

Symptoms: Upper respiratory, cough, tired. 2 werks

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
SDCough · · ✓
SDDizziness ✓ ✓ ✓
SDFatigue · · ✓
SDNeck pain ✓ ✓ ✓
SDOral herpes ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SDRespiratory syncytial virus infection · · ✓
SDUnevaluable event · · ✓

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

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