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5RJ-31577-73601

4 vaccinations 3 coded responses 28 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
448 / OH
Registered
2020-12-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Registered in v-safe
  2. 2020-12-28
    Dose 1 — Moderna
  3. 2020-12-28
    Health check-in — day 0, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  4. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Diarrhea
    Adult check-in
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vertigo — Feeling: Fair
    Free text: Vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-25
    Dose 2 — Moderna
  14. 2021-01-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache
    Adult check-in
  16. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache
    Adult check-in
  17. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache
    Adult check-in
  18. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-01
    Health check-in — day 7, dose 2
    Feeling: Good · Nausea · Be unable to do your normal daily activities
    Adult check-in
  22. 2021-02-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-26
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Hypoaesthesia, Injection site reaction, Massage, Nervous system disorder, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Nerve issues in arm where vaccine was given. Shoulder back and front and mid back rib area. Numbness in little finger and Leung finger. Pain in elbow and forearm. Been going on since March 2nd. Do not know if its relates or not but its the left · Healthcare visit (other): GP twice. Massage therapist twice and chiropractor twice.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-04-26
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-07-26
    Survey response — 6 months, dose 2
    MedDRA: Fatigue, Hypersomnia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Extreme exhaustion. Sleeping way too much. Taking naps a lot that I never took before. Im just in very tired a lot and I have not changed anything within my lifestyle to warrant this.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-12-23
    Dose 3 — Moderna
  31. 2022-01-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-04-07
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  33. 2022-07-25
    Dose 4 — Moderna
  34. 2022-10-24
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  35. 2023-01-23
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-01-25Moderna
32021-12-23Moderna No
42022-07-25Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Vertigo

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Nerve issues in arm where vaccine was given. Shoulder back and front and mid back rib area. Numbness in little finger and Leung finger. Pain in elbow and forearm. Been going on since March 2nd. Do not know if its relates or not but its the left
Healthcare visit (other): GP twice. Massage therapist twice and chiropractor twice.

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Extreme exhaustion. Sleeping way too much. Taking naps a lot that I never took before. Im just in very tired a lot and I have not changed anything within my lifestyle to warrant this.

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
HCVOMassage ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDFatigue ✓ · ✓
SDHypersomnia ✓ · ✓
SDHypoaesthesia ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDNervous system disorder ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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