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5E2-19135-79189

2 vaccinations 7 coded responses 27 check-ins 7 free-text entries 3 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
454 / OH
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-01-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: I believe these symptoms are related to starting my period today, not the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-06
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work
    Free text: Again, not sure if symptoms are related to vaccine or my menstrual cycle.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-06
    Report sent to call center — day 7, dose 1
    Be unable to work
    1 call case(s)
  12. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-01-27
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-02-04
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  16. 2021-02-09
    Dose 2 — Moderna
  17. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Nosebleed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Chills, Muscle or body aches, Abdominal pain
    Adult check-in
  19. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Crohn's disease, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: The GI symptoms may be related to my Crohns disease.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  23. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  24. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-05-11
    Survey response — 3 months, dose 2
    MedDRA: Asthenia, Chills, Fatigue, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: Had a cold/upper respiratory infection and bronchitis and laryngitis for nearly 2 weeks. It took me off work with weakness and fatigue. This was 3-4wks ago. I was tested for covid to rule out despite already being vaccinated; it was negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  30. 2021-08-10
    Survey response — 6 months, dose 2
    MedDRA: Hip arthroplasty — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Had a left total hip replacement 7/29/21.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  31. 2021-08-10
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  32. 2021-08-13
  33. 2021-08-18
  34. 2022-02-09
    Survey response — 12 months, dose 2
    MedDRA: Bronchitis, Office visit, Respiratory symptom — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization
    Free text: Symptoms: Have had bronchitis/upper respiratory symptoms multiple times over past 2 months. Currently with symtpoms again. · Healthcare visit (other): Doctor's office appt
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-02-09
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
  36. 2022-02-10

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-02-09Moderna

Call center

3 call center cases

2 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): I believe these symptoms are related to starting my period today, not the vaccine.

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Again, not sure if symptoms are related to vaccine or my menstrual cycle.

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Nosebleed

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): The GI symptoms may be related to my Crohns disease.

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Had a cold/upper respiratory infection and bronchitis and laryngitis for nearly 2 weeks. It took me off work with weakness and fatigue. This was 3-4wks ago. I was tested for covid to rule out despite already being vaccinated; it was negative.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Had a left total hip replacement 7/29/21.

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Have had bronchitis/upper respiratory symptoms multiple times over past 2 months. Currently with symtpoms again.
Healthcare visit (other): Doctor's office appt

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 · · ✓
SDAsthenia ✓ ✓ ✓
SDBronchitis · · ✓
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHip arthroplasty ✓ · ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory symptom · · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROCrohn's disease ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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