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5B4-22712-20755

5 vaccinations 5 coded responses 21 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
483 / MI
Registered
2021-03-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Dose 1 — Moderna
  2. 2021-03-29
    Registered in v-safe
  3. 2021-03-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-03
    Dose 2 — Moderna
  5. 2021-04-03
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  7. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Have appt. scheduled tomorrow at doctor's office.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-08
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Burning sensation — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Cacelled doctor appt as burning sensation stopped.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-17
    Survey response — day 14, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: Realized somewhat painful rash is still on back. Thought it had gone away. Not that bad and not taking any meds for pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-04
    Survey response — 3 months, dose 2
    MedDRA: Herpes simplex, Pre-existing disease, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Possibly shingles on back. Mild rash across back that started 1 week after 2nd Moderna shot. Slightly painful with heat of sun. Culminated with herpes outbreak early Juneper doctor. Seems cleared up now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-07-04
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-07-08
  22. 2021-07-13
  23. 2021-10-04
    Survey response — 6 months, dose 2
    MedDRA: Herpes virus infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Herpes outbreak on back in June, which ive never had before. Cleared up in about 2 weeks. · Healthcare visit (other): Dermatogist in-person visit.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-04
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-10-08
  26. 2021-10-11
  27. 2021-11-19
    Dose 3 — Moderna
  28. 2022-04-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-07-25
    Dose 4 — Moderna
  30. 2022-10-24
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-10-25
    Dose 5 — Moderna
  32. 2023-01-24
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  33. 2023-01-24
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  34. 2023-04-25
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna
32021-11-19Moderna No
42022-07-25Moderna No
52022-10-25Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Healthcare visit (other): Have appt. scheduled tomorrow at doctor's office.

2021-04-09

Systemic reaction (other): Cacelled doctor appt as burning sensation stopped.

Release 7 — day 14, dose 2

2021-04-17

Symptoms: Realized somewhat painful rash is still on back. Thought it had gone away. Not that bad and not taking any meds for pain.

Release 9 — 3 months, dose 2

2021-07-04

Symptoms: Possibly shingles on back. Mild rash across back that started 1 week after 2nd Moderna shot. Slightly painful with heat of sun. Culminated with herpes outbreak early Juneper doctor. Seems cleared up now.

Release 9 — 6 months, dose 2

2021-10-04

Symptoms: Herpes outbreak on back in June, which ive never had before. Cleared up in about 2 weeks.
Healthcare visit (other): Dermatogist in-person visit.

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 · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDHerpes simplex ✓ ✓ ✓
SDHerpes virus infection · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓

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