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5DV-77436-76292

5 vaccinations 5 coded responses 32 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
548 / WI
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 · None
    Adult check-in
  4. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Just a slightly sore arm at the injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-11
    Survey response — day 14, dose 1
    MedDRA: Injection site rash — Feeling: Good
    Free text: New rash on my arm right around and below injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Dose 2 — Moderna
  13. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  14. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  15. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  16. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  17. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  18. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-11
    Survey response — day 14, dose 2
    MedDRA: Breast discharge, Breast pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Probably not at all related to the vaccine, but I experienced discharge and slight pain in right breast, had a mammogram and ultrasound and they found all was well, totally benign, probably changes related to aging (I am 73.)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-11
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-27
    Survey response — 3 months, dose 2
    MedDRA: Atrial flutter — Feeling: Good
    Free text: Diagnosed with Atrial flutter, probably existing before and probably NOT considered related at all to covid vaccination! (Related to age and previous heart conditions)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-11
    Dose 3 — Moderna
  29. 2021-12-15
  30. 2021-12-20
  31. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-05-03
    Dose 4 — Moderna
  33. 2022-10-07
    Dose 5 — Moderna
    Co-administered: Flu
  34. 2022-10-18
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  35. 2022-10-21
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  36. 2022-10-28
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  37. 2022-11-04
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  38. 2022-11-11
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  39. 2022-11-18
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  40. 2023-01-07
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  41. 2023-04-07
    Survey response — 6 months, dose 5
    MedDRA: Bronchitis viral, Influenza virus test negative, SARS-CoV-2 test negative — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-11-11Moderna No
42022-05-03Moderna No
52022-10-07Moderna Flu

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 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Just a slightly sore arm at the injection site.

Release 4 — day 14, dose 1

2021-02-11

Symptoms: New rash on my arm right around and below injection site.

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Probably not at all related to the vaccine, but I experienced discharge and slight pain in right breast, had a mammogram and ultrasound and they found all was well, totally benign, probably changes related to aging (I am 73.)

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Diagnosed with Atrial flutter, probably existing before and probably NOT considered related at all to covid vaccination! (Related to age and previous heart conditions)

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
SDAtrial flutter ✓ ✓ ✓
SDBreast discharge ✓ ✓ ✓
SDBreast pain ✓ ✓ ✓
SDBronchitis viral · · ✓
SDInfluenza virus test negative · · ✓
SDInjection site rash ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SROPain in extremity ✓ ✓ ✓

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

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