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5V9-17455-84392

2 vaccinations 6 coded responses 12 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
502 / IA
Registered
2021-02-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-14
    Dose 1 — Moderna
  2. 2021-02-17
    Registered in v-safe
  3. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Chills, Headache, Pain — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: Chills, Headache, joint pain and body aches on first evening/night after I received vaccine on 2/14
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-09
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-15
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-17
    Dose 2 — Moderna
  8. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Fair · Be unable to work
    Free text: 18 hours after 2nd vaccine I experienced 101 fever, chills, headache and body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-23
    Survey response — day 35, dose 2
    MedDRA: Ageusia, Anosmia, Urinary tract infection — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Diagnosed with UTI and CT revealed Acute Diverticulitis so under doctors care now. I still do not have my taste and smell back from having Covid in 12/2020.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-28
    Survey response — day 42, dose 2
    MedDRA: Ageusia, Anosmia, Diverticulitis, Unevaluable event — Feeling: Good · Be unable to work, 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: Symptoms: Continued minimal taste and no smell since diagnosed with Covid 12/1/2020. Newly diagnosed with Acute Diverticulitis · Healthcare visit (other): CT scan
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-28
    Report sent to call center — day 42, 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)
  14. 2021-06-18
    Survey response — 3 months, dose 2
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: Continued loss of smell and some decreased taste since I was diagnosed with Covid-19 on 12/1/2020.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-09-15
    Survey response — 6 months, dose 2
    MedDRA: Meniscus injury, Office visit — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Complex medial meniscus tear having Surgery tomorrow, 9/16 · Healthcare visit (other): DMOS
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-09-15
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  17. 2021-09-19
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  18. 2022-03-17
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-14Moderna
22021-03-17Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Chills, Headache, joint pain and body aches on first evening/night after I received vaccine on 2/14

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): 18 hours after 2nd vaccine I experienced 101 fever, chills, headache and body aches

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Diagnosed with UTI and CT revealed Acute Diverticulitis so under doctors care now. I still do not have my taste and smell back from having Covid in 12/2020.

Release 8 — day 42, dose 2

2021-04-28

Symptoms: Continued minimal taste and no smell since diagnosed with Covid 12/1/2020. Newly diagnosed with Acute Diverticulitis
Healthcare visit (other): CT scan

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Continued loss of smell and some decreased taste since I was diagnosed with Covid-19 on 12/1/2020.

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Complex medial meniscus tear having Surgery tomorrow, 9/16
Healthcare visit (other): DMOS

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 · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAgeusia ✓ ✓ ✓
SDAnosmia ✓ ✓ ✓
SDDiverticulitis ✓ ✓ ✓
SDMeniscus injury · · ✓
SDUrinary tract infection ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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