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62R-24014-04775

4 vaccinations 8 coded responses 44 check-ins 8 free-text entries 1 call case
Sex
—
Age at first dose
21-25
ZIP prefix
681 / NE
Registered
2021-05-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-30
    Dose 2 — Moderna
  3. 2021-05-02
    Registered in v-safe
  4. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Be unable to do your normal daily activities
    Free text: The redness around the injection site is about 2 inches wide and it got redder overnight from yesterday. I took a Benadryl but Im not sure if its any smaller or less red.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site rash, Medical counselling, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): The red rash around the injection site is about as big as the size of my palm. My doctor told me to keep taking Benadryl and Tylenol and let her know if it doesnt stop getting bigger. · Healthcare visit (other): I left a voicemail for my doctor and her office called me back.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-03
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Good · Site: Pain, Redness, Itching · Headache
    Free text: The red circle around the injection site is a lot less red and not nearly as swollen as before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Pruritus — Feeling: Good · Site: Itching · Headache
    Free text: Redness is completely gone, it just itches now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema — Feeling: Good · Site: Itching
    Free text: Redness is completely gone, there is no lump at the injection site anymore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-06-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-11-06
    Dose 3 — Moderna
  19. 2021-11-06
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  20. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Yesterday I had chills, but it wasn't until after I had already completed the check in for that day.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness
    Adult check-in
  22. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  23. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  24. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  25. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  26. 2021-11-13
    Health check-in — day 7, dose 3
    Feeling: Good · Headache
    Adult check-in
  27. 2021-11-20
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  28. 2021-11-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-04
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  30. 2021-12-11
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  31. 2021-12-18
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-02-05
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-04-14
  34. 2022-05-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-06-03
    Dose 4 — Moderna
  36. 2022-06-03
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain, Swelling, Itching · Headache
    Adult check-in
  37. 2022-06-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Arthralgia, Injection site pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: My entire left arm was sore from the top of my shoulder to my fingers. The injection site itself didn't hurt much, the rest of my arm hurt more.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-06-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  39. 2022-06-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  40. 2022-06-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Nausea
    Adult check-in
  41. 2022-06-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  42. 2022-06-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  43. 2022-06-10
    Health check-in — day 7, dose 4
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  44. 2022-06-17
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  45. 2022-06-24
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-07-01
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-07-08
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-07-15
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-09-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-12-02
    Survey response — 6 months, dose 4
    MedDRA: COVID-19, Impaired work ability, Memory impairment, Thought blocking — Feeling: Fair
    Free text: After having Covid, I noticed that I lose my train of thought more or forget what I got up to go do. It has impeded my work a little, but I can still do things. It just takes a bit longer.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2023-06-03
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-30Moderna
32021-11-06Moderna No
42022-06-03Moderna 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 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): The redness around the injection site is about 2 inches wide and it got redder overnight from yesterday. I took a Benadryl but Im not sure if its any smaller or less red.

2021-05-03

Systemic reaction (other): The red rash around the injection site is about as big as the size of my palm. My doctor told me to keep taking Benadryl and Tylenol and let her know if it doesnt stop getting bigger.
Healthcare visit (other): I left a voicemail for my doctor and her office called me back.

2021-05-04

Systemic reaction (other): The red circle around the injection site is a lot less red and not nearly as swollen as before.

2021-05-05

Systemic reaction (other): Redness is completely gone, it just itches now.

2021-05-06

Systemic reaction (other): Redness is completely gone, there is no lump at the injection site anymore.

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Yesterday I had chills, but it wasn't until after I had already completed the check in for that day.

Release 11 — days 1–6 daily, dose 4

2022-06-04

Systemic reaction (other): My entire left arm was sore from the top of my shoulder to my fingers. The injection site itself didn't hurt much, the rest of my arm hurt more.

Release 12 — 6 months, dose 4

2022-12-02

Symptoms: After having Covid, I noticed that I lose my train of thought more or forget what I got up to go do. It has impeded my work a little, but I can still do things. It just takes a bit longer.

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 ✓ ✓ ✓
SDCOVID-19 · · ✓
SDImpaired work ability · · ✓
SDMemory impairment · · ✓
SDThought blocking · · ✓
SROArthralgia · · ✓
SROChills · · ✓
SROErythema ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain · · ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROPain in extremity · · ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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