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5T4-18208-19143

3 vaccinations 5 coded responses 25 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
301 / GA
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-16
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-23
    Survey response — day 7, dose 1
    MedDRA: Axillary pain — Feeling: Good
    Free text: Pain in right armpit. Got vaccine in right arm. Pain started yesterday morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-13
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-15
    Dose 2 — Moderna
  13. 2021-02-15
    Survey response — day 0, dose 2
    MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: Warm at the site of the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Presyncope — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Felt like I was going to pass out this morning. Laid down in the floor for 30 mins and felt better. Hasn't happened again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood glucose increased, Blood ketone body, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): My blood glucose levels are high. Had ketones in urine this morning. None now. Talking with my doctor about blood glucose levels. · Healthcare visit (other): Talked to the nurse over the phone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-17
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  18. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-22
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-03-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-08
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-05
  27. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-10
    Dose 3 — Moderna
  29. 2021-10-26
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-12
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-03-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-15Moderna
32021-09-10Moderna 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 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Pain in right armpit. Got vaccine in right arm. Pain started yesterday morning.

Release 4 — day 0, dose 2

2021-02-15

Systemic reaction (other): Warm at the site of the injection

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Felt like I was going to pass out this morning. Laid down in the floor for 30 mins and felt better. Hasn't happened again.

2021-02-17

Systemic reaction (other): My blood glucose levels are high. Had ketones in urine this morning. None now. Talking with my doctor about blood glucose levels.
Healthcare visit (other): Talked to the nurse over the phone.

Release 5 — day 21, dose 2

2021-03-08

Symptoms: Headaches

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
HCVOMedical counselling ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBlood glucose increased ✓ ✓ ✓
SROBlood ketone body ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓
SROPresyncope ✓ ✓ ✓

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