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58Q-13880-69520

2 vaccinations 3 coded responses 22 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
930 / CA
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 · Site: Pain · None
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-15
    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. 2021-01-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-25
    Survey response — day 14, dose 1
    MedDRA: Neck mass, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I found a large, visible lump in my neck. Im getting a thyroid panel done today & will follow up with endo. Its probably unrelated, Ive been having hypothyroid symptoms for years with a TSH at the high end of normal. · Healthcare visit (other): Blood work. Medical follow up TBD based on results.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-25
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-02-01
    Survey response — day 21, dose 1
    MedDRA: Abdominal mass, Blood thyroid stimulating hormone increased, Mass — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Its probably not vaccine related. Increased TSH. Visible mass, likely thyroid related. In-office visit scheduled for 2/3/21.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-01
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-08
    Dose 2 — Moderna
  14. 2021-02-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Joint swelling — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Swollen joints, mainly fingers and toes. Resolved in about 10 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, 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. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-02-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-05
  27. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-25

Symptoms: I found a large, visible lump in my neck. Im getting a thyroid panel done today & will follow up with endo. Its probably unrelated, Ive been having hypothyroid symptoms for years with a TSH at the high end of normal.
Healthcare visit (other): Blood work. Medical follow up TBD based on results.

Release 3 — day 21, dose 1

2021-02-01

Symptoms: Its probably not vaccine related. Increased TSH. Visible mass, likely thyroid related. In-office visit scheduled for 2/3/21.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Swollen joints, mainly fingers and toes. Resolved in about 10 hours.

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
HCVOOffice visit ✓ ✓ ✓
SDAbdominal mass ✓ ✓ ✓
SDBlood thyroid stimulating hormone increased ✓ ✓ ✓
SDMass ✓ ✓ ✓
SDNeck mass ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROJoint swelling ✓ ✓ ✓

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

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