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5GK-24313-88996

3 vaccinations 8 coded responses 29 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
947 / CA
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Moderna
  3. 2021-01-26
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  6. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · Fatigue or tiredness
    Adult check-in
  7. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  11. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site induration, Injection site pruritus — Feeling: Good
    Free text: I had a continuation of red, indurated, pruritic 4X3 inch spot on my left arm near injection site since my last report. Currently there is slight redness but no induration or itching.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-16
    Survey response — day 21, dose 1
    MedDRA: Abdominal discomfort, Headache, Malaise — Feeling: Fair · Be unable to do your normal daily activities
    Free text: 4 days ago malaise, slight headache and stomach upset. Same 3 days ago. Better but still with symptoms yesterday. And more mild today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-24
    Dose 2 — Moderna
  14. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site dryness, Injection site erythema — Feeling: Good · Headache
    Free text: Still with redness and skin roughness at the site of the first injection (opposite arm)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Headache, Nausea
    Adult check-in
  18. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-02
    Survey response — day 35, dose 2
    MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Migraine headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-26
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Headache — Feeling: Fair
    Free text: Mild headache and low back pain daily for several weeks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-27
    Survey response — 12 months, dose 2
    MedDRA: Arthritis, Dry eye, Pain in extremity, X-ray abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Dry eyes; pain in left thumb (arthritis by X-ray)
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-02-27
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  28. 2022-03-17
  29. 2022-05-25
    Dose 3 — Pfizer-BioNTech
  30. 2022-06-25
    Survey response — day 28, dose 3
    MedDRA: Headache — Feeling: Good
    Free text: Frequent almost daily low grade headaches
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-06-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-07-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-08-24
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  34. 2022-11-23
    Health check-in — 6 months, dose 3
    Feeling: Poor
    Adult check-in
  35. 2023-05-26
    Survey response — 12 months, dose 3
    MedDRA: Pruritus — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-24Moderna
32022-05-25Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-09

Symptoms: I had a continuation of red, indurated, pruritic 4X3 inch spot on my left arm near injection site since my last report. Currently there is slight redness but no induration or itching.

Release 4 — day 21, dose 1

2021-02-16

Symptoms: 4 days ago malaise, slight headache and stomach upset. Same 3 days ago. Better but still with symptoms yesterday. And more mild today.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Still with redness and skin roughness at the site of the first injection (opposite arm)

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Migraine headaches

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Mild headache and low back pain daily for several weeks

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: Dry eyes; pain in left thumb (arthritis by X-ray)

Release 12 — day 28, dose 3

2022-06-25

Symptoms: Frequent almost daily low grade headaches

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
SDAbdominal discomfort ✓ ✓ ✓
SDArthritis · · ✓
SDBack pain ✓ ✓ ✓
SDDry eye · · ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site induration ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDPain in extremity · · ✓
SDPruritus · · ✓
SDX-ray abnormal · · ✓
SROInjection site dryness ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓

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