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4ZH-29277-18438

4 vaccinations 8 coded responses 51 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
156 / PA
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · Chills
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Diarrhea
    Adult check-in
  5. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort — Feeling: Good · Fatigue or tiredness, Diarrhea
    Free text: Upset stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort — Feeling: Good
    Free text: Upset stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-08
    Dose 2 — Moderna
  14. 2021-02-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Fatigue or tiredness
    Adult check-in
  17. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperaesthesia — Feeling: Good
    Free text: Still a bit sensitive to touch but otherwise good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Muscle or body aches
    Adult check-in
  21. 2021-02-15
    Survey response — day 7, dose 2
    MedDRA: Myalgia — Feeling: Good · Site: Itching · Fever
    Free text: I worked out on Saturday, it was a light workout, and i still have muscle soreness a bit more than what should be for the workout but i am ok.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-22
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-03-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-03-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-10
    Survey response — 3 months, dose 2
    MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test — Feeling: Good
    Free text: I have had a cold, but was tested and it was not COVID. I just had a stuffy nose and sore throat for a few days and am well now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-08-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-03
    Dose 3 — Moderna
  30. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  31. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  34. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-17
    Survey response — day 14, dose 3
    MedDRA: Exposure to SARS-CoV-2, Fatigue, Headache, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair
    Free text: I tested positive for COVID from a family member I live with. Headache, stuffed and tired
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-11-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-05-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-10-26
    Dose 4 — Moderna
  44. 2022-10-27
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Muscle or body aches
    Adult check-in
  46. 2022-10-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-10-31
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-11-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-11-02
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-11-09
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-11-16
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-11-23
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-11-30
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-12-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  55. 2023-01-25
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-04-26
    Survey response — 6 months, dose 4
    MedDRA: Heavy menstrual bleeding — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    MedDRA releases: 2024-11
  57. 2023-04-26
    Report sent to call center — 6 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  58. 2023-04-27
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna
32021-11-03Moderna No
42022-10-26Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Upset stomach

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Upset stomach

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Still a bit sensitive to touch but otherwise good

Release 4 — day 7, dose 2

2021-02-15

Systemic reaction (other): I worked out on Saturday, it was a light workout, and i still have muscle soreness a bit more than what should be for the workout but i am ok.

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: I have had a cold, but was tested and it was not COVID. I just had a stuffy nose and sore throat for a few days and am well now.

Release 10 — day 14, dose 3

2021-11-17

Symptoms: I tested positive for COVID from a family member I live with. Headache, stuffed and tired

Release 12 — days 1–6 daily, dose 4

2022-10-27

Systemic reaction (other): Cough

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
SDExposure to SARS-CoV-2 · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDHeavy menstrual bleeding · · ✓
SDNasal congestion ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SROAbdominal discomfort ✓ ✓ ✓
SROCough · · ✓
SROHyperaesthesia ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓

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