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59Q-29183-19969

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
584 / ND
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · Chills
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-11
    Survey response — day 14, dose 1
    MedDRA: Cough, Oropharyngeal pain — Feeling: Good
    Free text: Soar throat and cough. Dont think its related to the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-18
    Survey response — day 21, dose 1
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Allergic sinus issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-25
    Dose 2 — Moderna
  14. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Chills, Headache, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-11
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Pain in extremity — Feeling: Good
    Free text: My left arm and shoulder were very painful onTuesday the 9th. It pretty much went away but I still get pain in it from time to time. Not sure if its shot related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-08
    Survey response — day 42, dose 2
    MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Fair
    Free text: Stiff neck and right arm is sore and gets pain in it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-28
    Survey response — 3 months, dose 2
    MedDRA: Diverticulitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: I had a part of my Collin removed yesterday due to diverticulitis which had been an ongoing problem. Not covid related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-05-28
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-08-28
    Survey response — 6 months, dose 2
    MedDRA: Pain — Feeling: Fair
    Free text: Sharp pain shooting sometimes
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2022-02-17

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna

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 4 — day 14, dose 1

2021-02-11

Symptoms: Soar throat and cough. Dont think its related to the shot.

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Allergic sinus issues

Release 5 — day 14, dose 2

2021-03-11

Symptoms: My left arm and shoulder were very painful onTuesday the 9th. It pretty much went away but I still get pain in it from time to time. Not sure if its shot related.

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Stiff neck and right arm is sore and gets pain in it

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: I had a part of my Collin removed yesterday due to diverticulitis which had been an ongoing problem. Not covid related

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Sharp pain shooting sometimes

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
SDArthralgia ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDiverticulitis ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ · ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓

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

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