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5LV-18644-47102

3 vaccinations 5 coded responses 37 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
972 / OR
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
UWC-26841-83874 Child or adolescent in my care · Male · 2021-11-13

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 · Site: Pain · None
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · 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 · None
    Adult check-in
  9. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-27
    Dose 2 — Moderna
  13. 2021-01-27
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  14. 2021-01-28
    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. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast feeding, Lactation disorder — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches
    Free text: I'm breastfeeding and my milk supply seems to have decreased in the last couple of days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-17
    Survey response — day 21, dose 2
    MedDRA: Impaired work ability, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Mild sore throat and runny nose. Had to stay off work and get a covid test for precautionary reasons. Test was negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-02-17
    Report sent to call center — day 21, dose 2
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-08-09
  30. 2021-11-11
    Dose 3 — Moderna
  31. 2021-11-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral, Pruritus — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My armpit in the side where i got the shot has diffuse swelling and mild pain and itchiness
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Mild Armpit swelling and pain on the side where I got the shot
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Right armpit is still mildly swollen and sore
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-18
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-25
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-03
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-09
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-16
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-23
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-10
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-05-14
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna
32021-11-11Moderna No

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 2

2021-01-29

Systemic reaction (other): I'm breastfeeding and my milk supply seems to have decreased in the last couple of days

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Mild sore throat and runny nose. Had to stay off work and get a covid test for precautionary reasons. Test was negative.

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): My armpit in the side where i got the shot has diffuse swelling and mild pain and itchiness

2021-11-14

Systemic reaction (other): Mild Armpit swelling and pain on the side where I got the shot

2021-11-15

Systemic reaction (other): Right armpit is still mildly swollen and sore

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
SDImpaired work ability ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROAxillary pain · · ✓
SROBreast feeding ✓ ✓ ✓
SROLactation disorder ✓ ✓ ✓
SROOedema peripheral · · ✓
SROPruritus · · ✓

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