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5NQ-15690-80089

3 vaccinations 4 coded responses 26 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
471 / IN
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-16
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  9. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Survey response — day 21, dose 1
    MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: My knee pain has been worse
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-13
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-15
    Dose 2 — Moderna
  15. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Erythema, Nausea, Pain, Pyrexia, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I had nausea, diarrhea, chills, fever, redness and swelling, and body aches that were mlderate to severe from the 16th-18th
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-20
    Survey response — day 35, dose 2
    MedDRA: Arthritis, Condition aggravated, Office visit, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: My spinal degenerative disc disease and knee degeneration from arthritis are getting worse. Being sent for a second opinion at a new pain management doctor. · Healthcare visit (other): Saw my orthopedic surgeon for steroid injections in knee and pain management dor third epidural shot in lower spine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-20
    Report sent to call center — day 35, dose 2
    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)
  23. 2021-05-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in
  25. 2021-09-20
    Dose 3 — Moderna
  26. 2021-10-14
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-10-30
    Health check-in — day 35, dose 3
    Feeling: Poor
    Adult check-in
  28. 2021-11-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-20
    Survey response — 3 months, dose 3
    MedDRA: Viral infection — Feeling: Poor · 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 caught a virus that's been going around.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-20
    Report sent to call center — 3 months, dose 3
    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)
  31. 2021-12-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  32. 2022-03-21
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-09-20
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-15Moderna
32021-09-20Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-06

Symptoms: My knee pain has been worse

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): I had nausea, diarrhea, chills, fever, redness and swelling, and body aches that were mlderate to severe from the 16th-18th

Release 8 — day 35, dose 2

2021-05-20

Symptoms: My spinal degenerative disc disease and knee degeneration from arthritis are getting worse. Being sent for a second opinion at a new pain management doctor.
Healthcare visit (other): Saw my orthopedic surgeon for steroid injections in knee and pain management dor third epidural shot in lower spine.

Release 10 — 3 months, dose 3

2021-12-20

Symptoms: I caught a virus that's been going around.

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
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDArthritis ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDViral infection · · ✓
SROChills ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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