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5J5-24761-00576

1 vaccination 7 coded responses 12 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
958 / CA
Registered
2021-03-04
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Survey response — day 0, dose 1
    MedDRA: Injection site pain, Limb discomfort — Feeling: Good
    Free text: Slight soreness and heaviness in upper arm where I received the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Still a very mild soreness in my upper arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy, Medical counselling, Neck pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Swollen gland on my neck, below right ear, that hurts. · Healthcare visit (other): Telephone call with nurse
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: Shortness of breath for the past 4 days. Heart palpitations too.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-11
    Survey response — day 7, dose 1
    MedDRA: Respiration abnormal, Sneezing — Feeling: Good
    Free text: I didnt sneeze today and realized that Ive been sneezing 5-6 times every day, since getting the vaccine. This is also the first day that my breathing has felt almost normal and not constricted.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-08
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-16
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-06-03
    Survey response — 3 months, dose 1
    MedDRA: Arrhythmia, Dyspnoea, Syncope — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Increased incidents of heart arrhythmia. I also had other severe symptoms 3-8 days after my 1st shot including fainting, shortness of breath, and arrhythmia which I was unable to report at the time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-03
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-09-02
    Survey response — 6 months, dose 1
    MedDRA: Pruritus — Feeling: Good
    Free text: Itchiness.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-12-15
  18. 2021-12-15

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna

Call center

2 call center cases

2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Slight soreness and heaviness in upper arm where I received the vaccine.

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Still a very mild soreness in my upper arm.

2021-03-07

Systemic reaction (other): Swollen gland on my neck, below right ear, that hurts.
Healthcare visit (other): Telephone call with nurse

2021-03-10

Systemic reaction (other): Shortness of breath for the past 4 days. Heart palpitations too.

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): I didnt sneeze today and realized that Ive been sneezing 5-6 times every day, since getting the vaccine. This is also the first day that my breathing has felt almost normal and not constricted.

Release 8 — 3 months, dose 1

2021-06-03

Symptoms: Increased incidents of heart arrhythmia. I also had other severe symptoms 3-8 days after my 1st shot including fainting, shortness of breath, and arrhythmia which I was unable to report at the time.

Release 9 — 6 months, dose 1

2021-09-02

Symptoms: Itchiness.

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
HCVOMedical counselling ✓ ✓ ✓
SDArrhythmia ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDPruritus ✓ · ✓
SDSyncope ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SRORespiration abnormal ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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