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5MA-30055-89602

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
601 / IL
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Dose 1 — Moderna
  2. 2020-12-31
    Registered in v-safe
  3. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Most of the symptoms were from yesterday but only signed up on site today. Yesterday temp 101 farenheight
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-31
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  7. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good · Site: Redness
    Free text: Some bruising at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good · Site: Redness · Fatigue or tiredness
    Free text: Bruising at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-05
    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. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-26
    Dose 2 — Moderna
  13. 2021-01-26
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  15. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-01
    Survey response — 3 months, dose 2
    MedDRA: Abdominal discomfort, Arthralgia, Loss of personal independence in daily activities — Feeling: Fair
    Free text: Bilateral knee pain , Affects daily activities some. Some more GI distress
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-07-27
    Survey response — 6 months, dose 2
    MedDRA: Ageusia, Anosmia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: Legs ache on and off daily. Still dont have all taste and smell back from having Covid nov 2020
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2022-01-26
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Taste disorder — Feeling: Good
    Free text: Second bout of Covid. Taste worse again. Never fully recovered from first time and now a setback a bit
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Call center

1 call center case

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

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Most of the symptoms were from yesterday but only signed up on site today. Yesterday temp 101 farenheight

2021-01-03

Systemic reaction (other): Some bruising at injection site

2021-01-04

Systemic reaction (other): Bruising at injection site

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Bilateral knee pain , Affects daily activities some. Some more GI distress

Release 9 — 6 months, dose 2

2021-07-27

Symptoms: Legs ache on and off daily. Still dont have all taste and smell back from having Covid nov 2020

Release 11 — 12 months, dose 2

2022-01-26

Symptoms: Second bout of Covid. Taste worse again. Never fully recovered from first time and now a setback a bit

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 ✓ ✓ ✓
SDAgeusia ✓ · ✓
SDAnosmia ✓ · ✓
SDArthralgia ✓ ✓ ✓
SDCOVID-19 · · ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDPain in extremity ✓ · ✓
SDTaste disorder · · ✓
SROBody temperature increased ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓

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