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54S-97595-97304

2 vaccinations 4 coded responses 17 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
897 / NV
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Registered in v-safe
  2. 2021-01-09
    Dose 1 — Moderna
  3. 2021-01-09
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  4. 2021-01-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal dreams, Anxiety, Insomnia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness
    Free text: Anxiousness, loss of sleep, vivid dreams
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  6. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  7. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  8. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-23
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: Good
    Free text: After a week and three days I developed a swollen, hot, rash on the arm where vaccine was administered. Almost like a hive. Lasted about 4 more days and then arm still has rash and itching.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-06
    Dose 2 — Moderna
  14. 2021-02-20
    Survey response — day 14, dose 2
    MedDRA: Body temperature increased, Pruritus, Rash — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: 28 hours after shot became very ill with temp of 100-102. Lasted for about 48hrs. My arm had a rash but no hives this time. No symptoms since besides itching in vaccination area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-08
    Survey response — 3 months, dose 2
    MedDRA: Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Blurry vision
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-08
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-08-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-04-18

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-06Moderna

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 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Anxiousness, loss of sleep, vivid dreams

Release 2 — day 14, dose 1

2021-01-23

Symptoms: After a week and three days I developed a swollen, hot, rash on the arm where vaccine was administered. Almost like a hive. Lasted about 4 more days and then arm still has rash and itching.

Release 4 — day 14, dose 2

2021-02-20

Symptoms: 28 hours after shot became very ill with temp of 100-102. Lasted for about 48hrs. My arm had a rash but no hives this time. No symptoms since besides itching in vaccination area.

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: Blurry vision

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
SDBody temperature increased ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SROAbnormal dreams ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓

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