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62C-99622-29910

2 vaccinations 12 coded responses 16 check-ins 12 free-text entries 1 call case
Sex
Female
Age at first dose
21-25
ZIP prefix
300 / GA
Registered
2021-09-18
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-19
    Dose 1 — Moderna
  2. 2021-09-18
    Registered in v-safe
  3. 2021-09-18
    Dose 2 — Moderna
  4. 2021-09-18
    Survey response — day 0, dose 2
    MedDRA: Abdominal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain
    Free text: Abdominal pain was only a couple minutes
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Abdominal pain
    Adult check-in
  6. 2021-09-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Rhinorrhoea, Wheezing — Feeling: Good
    Free text: Cough and sniffling. A bit of wheezing when breathing
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-09-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good · Abdominal pain
    Free text: Ears ringing
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-09-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good · Headache, Abdominal pain
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-09-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paranasal sinus hypersecretion, Sinus pain — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: Sinus pain and drainage
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Dyspnoea — Feeling: Poor · Fever · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Severe cough, trouble breathing and shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-09-24
    Report sent to call center — days 1–6 daily, 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
    Emergency room or emergency department visit · 1 call case(s)
  12. 2021-09-25
    Survey response — day 7, dose 2
    MedDRA: Cough, Sleep disorder — Feeling: Poor · Fever · Headache, Muscle or body aches, Abdominal pain
    Free text: Painful cough that disrupts sleep
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-09-29
  14. 2021-10-02
    Survey response — day 14, dose 2
    MedDRA: Cough, Dizziness, Dyspnoea, Respiratory tract congestion, Syncope — Feeling: Fair
    Free text: Cough, congestion, shortness of breath, light headed feeling, fainting spells
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-10-06
  16. 2021-10-09
    Survey response — day 21, dose 2
    MedDRA: Cough, Dizziness, Dyspnoea, Myalgia, Respiratory tract congestion, Syncope — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Many fainting spells, even with small amounts of exertion; shortness of breath; light headedness; continuous cough, congestion, large amounts of muscle aches.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-16
    Survey response — day 28, dose 2
    MedDRA: Abdominal pain upper, Chest pain, Dizziness, Dyspnoea, Headache, Syncope — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stomach pain, headaches, shortness of breath, chest pain, fainting, light headed ness
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-23
    Survey response — day 35, dose 2
    MedDRA: Cough, Dyspnoea, Fatigue, Headache, Muscular weakness — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Headaches, difficulty lifting things, extreme exhaustion, cough and difficulty breathing
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-10-30
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain upper, Cough, Deafness, Dyspnoea, Headache, Loss of consciousness, Muscle fatigue, Myalgia, Oropharyngeal pain, Syncope — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Shortness of breath, sore throat, persistent and painful cough, stomach pain, headaches, fainting spells, eyes blackout, ears go mute, muscle fatigue, muscle aches
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-12-18
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2022-03-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-09-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-19Moderna No
22021-09-18Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 2

2021-09-18

Systemic reaction (other): Abdominal pain was only a couple minutes

Release 9 — days 1–6 daily, dose 2

2021-09-20

Systemic reaction (other): Cough and sniffling. A bit of wheezing when breathing

2021-09-21

Systemic reaction (other): Ears ringing

2021-09-22

Systemic reaction (other): Runny nose

2021-09-23

Systemic reaction (other): Sinus pain and drainage

2021-09-24

Systemic reaction (other): Severe cough, trouble breathing and shortness of breath

Release 9 — day 7, dose 2

2021-09-25

Systemic reaction (other): Painful cough that disrupts sleep

Release 9 — day 14, dose 2

2021-10-02

Symptoms: Cough, congestion, shortness of breath, light headed feeling, fainting spells

Release 10 — day 21, dose 2

2021-10-09

Symptoms: Many fainting spells, even with small amounts of exertion; shortness of breath; light headedness; continuous cough, congestion, large amounts of muscle aches.

Release 10 — day 28, dose 2

2021-10-16

Symptoms: Stomach pain, headaches, shortness of breath, chest pain, fainting, light headed ness

Release 10 — day 35, dose 2

2021-10-23

Symptoms: Headaches, difficulty lifting things, extreme exhaustion, cough and difficulty breathing

Release 10 — day 42, dose 2

2021-10-30

Symptoms: Shortness of breath, sore throat, persistent and painful cough, stomach pain, headaches, fainting spells, eyes blackout, ears go mute, muscle fatigue, muscle aches

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
SDAbdominal pain upper · · ✓
SDChest pain · · ✓
SDCough · · ✓
SDDeafness · · ✓
SDDizziness · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDLoss of consciousness · · ✓
SDMuscle fatigue · · ✓
SDMuscular weakness · · ✓
SDMyalgia · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SDSyncope · · ✓
SROAbdominal pain · · ✓
SROCough · · ✓
SRODyspnoea · · ✓
SROParanasal sinus hypersecretion · · ✓
SRORhinorrhoea · · ✓
SROSinus pain · · ✓
SROSleep disorder · · ✓
SROTinnitus · · ✓
SROWheezing · · ✓

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

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