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5ZJ-18159-36345

3 vaccinations 9 coded responses 38 check-ins 9 free-text entries 3 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
421 / KY
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Wheezing — Feeling: Good · Site: Pain
    Free text: Wheezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-06
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Lymph node swollen under arm injection was given
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-27
    Dose 2 — Moderna
  13. 2021-01-27
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling, Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Chest pain, Ear pain, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Sore throat, earache both sides, chest soreness/heaviness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  20. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-25
    Dose 3 — Moderna
  29. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  30. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Glossitis, Nodule — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Knot under same arm of injection and irritation to left side of tongue. Nodules to left of tongue
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  33. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-15
    Survey response — day 21, dose 3
    MedDRA: Laryngitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Laryngitis
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-11-15
    Report sent to call center — day 21, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  38. 2021-11-16
  39. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-08
    Survey response — day 42, dose 3
    MedDRA: Cough, Paranasal sinus hypersecretion, Sputum discoloured, Wheezing — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Worsening cough, wheezing, yellow sinus drainage and phlem
    MedDRA releases: 2024-11 · check-in free text available
  42. 2021-12-08
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  43. 2021-12-09
  44. 2022-01-26
    Survey response — 3 months, dose 3
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school
    Free text: I had COVID a couple weeks ago
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-10-25
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Nephrolithiasis, Small intestinal obstruction — 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, Hospitalization
    Free text: Small bowel partial obstruction and kidney stone. Also had COVID in January. Mild symptoms
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-10-25
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  48. 2022-10-26
  49. 2022-10-26
  50. 2022-10-26

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna
32021-10-25Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Wheezing

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Lymph node swollen under arm injection was given

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): No

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Sore throat, earache both sides, chest soreness/heaviness

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Knot under same arm of injection and irritation to left side of tongue. Nodules to left of tongue

Release 10 — day 21, dose 3

2021-11-15

Symptoms: Laryngitis

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Worsening cough, wheezing, yellow sinus drainage and phlem

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: I had COVID a couple weeks ago

Release 12 — 12 months, dose 3

2022-10-25

Symptoms: Small bowel partial obstruction and kidney stone. Also had COVID in January. Mild symptoms

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDLaryngitis · · ✓
SDNephrolithiasis · · ✓
SDParanasal sinus hypersecretion · · ✓
SDSmall intestinal obstruction · · ✓
SDSputum discoloured · · ✓
SDWheezing · · ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROGlossitis · · ✓
SROLymphadenopathy ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SRONodule · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

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

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