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5MF-19289-33929

4 vaccinations 5 coded responses 20 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
131 / NY
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-04-08
    Registered in v-safe
  3. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-09
    Dose 2 — Moderna
  5. 2021-04-18
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness · Joint pains
    Adult check-in
  6. 2021-04-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-05-02
    Survey response — day 21, dose 2
    MedDRA: Respiratory disorder, Wheezing — Feeling: Good
    Free text: It may be due to allergies and heavy pollen, but I've experienced more wheezing in my upper respiratory area, with a slight increase in the use of my inhaler.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-16
    Survey response — day 35, dose 2
    MedDRA: Lymphadenopathy, Rash — Feeling: Good
    Free text: I have developed a slight rash on my upper arms underarms, and stomach. My underarm lymph nodes are a little swollen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-07-11
    Survey response — 3 months, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: I have had a slight rash on my lower abdomen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-12-16
    Dose 3 — Moderna
  14. 2022-04-09
    Survey response — 12 months, dose 2
    MedDRA: Ear discomfort, Ear inflammation, Office visit, Oropharyngeal pain, Sinusitis, Viral upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had an upper respiratory virus a couple of weeks ago with a sore throat, sinusitis, and blocked/inflamed L ear. Treated at Urgent Care with prednisone.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-04-09
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2022-04-13
    Call successful
    Does not wish to fill out VAERS report
  17. 2022-12-16
    Dose 4 — Moderna
  18. 2022-12-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches
    Adult check-in
  19. 2022-12-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Itching · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  20. 2022-12-23
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Redness, Itching · Joint pains
    Adult check-in
  21. 2022-12-30
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  22. 2023-01-08
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  23. 2023-01-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  24. 2023-01-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  25. 2023-01-28
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  26. 2023-03-17
    Survey response — 3 months, dose 4
    MedDRA: Lower respiratory tract infection, Nasopharyngitis — Feeling: Fair
    MedDRA releases: 2024-11
  27. 2023-06-16
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna
32021-12-16Moderna No
42022-12-16Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-05-02

Symptoms: It may be due to allergies and heavy pollen, but I've experienced more wheezing in my upper respiratory area, with a slight increase in the use of my inhaler.

Release 8 — day 35, dose 2

2021-05-16

Symptoms: I have developed a slight rash on my upper arms underarms, and stomach. My underarm lymph nodes are a little swollen.

Release 9 — 3 months, dose 2

2021-07-11

Symptoms: I have had a slight rash on my lower abdomen.

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: I had an upper respiratory virus a couple of weeks ago with a sore throat, sinusitis, and blocked/inflamed L ear. Treated at Urgent Care with prednisone.

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
SDEar discomfort · · ✓
SDEar inflammation · · ✓
SDLower respiratory tract infection · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDOffice visit · · ✓
SDOropharyngeal pain · · ✓
SDRash ✓ ✓ ✓
SDRespiratory disorder ✓ ✓ ✓
SDSinusitis · · ✓
SDViral upper respiratory tract infection · · ✓
SDWheezing ✓ ✓ ✓

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

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