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5K9-25036-29336

2 vaccinations 12 coded responses 17 check-ins 12 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
469 / IN
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-02-15
    Registered in v-safe
  3. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Bronchitis flare up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Bronchitis flare up is reduced from yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Chronic bronchitis flare up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: Chronic bronchitis flare up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Bronchitis chronic, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Chronic bronchitis flare up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-20
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness
    Free text: Lymph glands in neck a bit swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-27
    Survey response — day 14, dose 1
    MedDRA: Condition aggravated, Pre-existing disease, Vaccination site swelling — Feeling: Good
    Free text: General immune flare-up, including old brown recluse bite from 2 years ago. Swelling at vaccine site, too. Puffed up for a few days on 8th day after vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-13
    Dose 2 — Moderna
  12. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I think I have a sinus cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Free text: Stuffy nose... I think I have a sinus cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasopharyngitis — Feeling: Poor · Fatigue or tiredness
    Free text: I think I have a sinus cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-20
    Survey response — day 7, dose 2
    MedDRA: Lower respiratory tract infection, Nasopharyngitis — Feeling: Fair · Fatigue or tiredness
    Free text: I think I have a sinus cold that has moved into my chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-28
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-04-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-03-13
    Survey response — 12 months, dose 2
    MedDRA: Fatigue — 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 · Telehealth, virtual health, or email health consultation
    Free text: Fatigue
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-03-13
    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 · 1 call case(s)
  22. 2022-03-16

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Bronchitis flare up

2021-02-16

Systemic reaction (other): Bronchitis flare up is reduced from yesterday

2021-02-17

Systemic reaction (other): Chronic bronchitis flare up

2021-02-18

Systemic reaction (other): Chronic bronchitis flare up

2021-02-19

Systemic reaction (other): Chronic bronchitis flare up

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Lymph glands in neck a bit swollen

Release 4 — day 14, dose 1

2021-02-27

Symptoms: General immune flare-up, including old brown recluse bite from 2 years ago. Swelling at vaccine site, too. Puffed up for a few days on 8th day after vaccination.

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): I think I have a sinus cold

2021-03-16

Systemic reaction (other): Stuffy nose... I think I have a sinus cold

2021-03-18

Systemic reaction (other): I think I have a sinus cold

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): I think I have a sinus cold that has moved into my chest

Release 11 — 12 months, dose 2

2022-03-13

Symptoms: Fatigue

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
SDCondition aggravated ✓ ✓ ✓
SDFatigue · · ✓
SDPre-existing disease ✓ ✓ ✓
SDVaccination site swelling ✓ ✓ ✓
SROBronchitis chronic ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROLower respiratory tract infection ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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