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65J-16005-89897

3 vaccinations 8 coded responses 38 check-ins 8 free-text entries 4 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
672 / KS
Registered
2021-02-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-19
    Dose 1 — Moderna
  2. 2021-02-20
    Registered in v-safe
  3. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches
    Adult check-in
  5. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-02-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-19
    Dose 2 — Moderna
  13. 2021-03-19
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain, Swelling · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Disturbance in attention, Dizziness, Somnolence — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Groggy and woozy. Struggling to focus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Urinary tract infection — Feeling: Good
    Free text: Mild UTI symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Urinary tract infection — Feeling: Good
    Free text: Still mild UTI symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Mild UTI
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-24
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-26
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event, Urinary tract infection — Feeling: Good · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Systemic reaction (other): Diagnosed UTI · Healthcare visit (other): Prescribed antibiotics
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-26
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-23
    Survey response — day 35, dose 2
    MedDRA: Eye swelling, Impaired work ability, Ocular discomfort, Office visit, Photosensitivity reaction, Sinusitis — Feeling: Poor · 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: Swollen eye socket and sinus infection. Had an emergency eye doctor appointment Wednesday because right eye was closing up severe photosensitivity and pressure. Been off work since Wednesday · Healthcare visit (other): Emergency eye doctor appointment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-04-23
    Report sent to call center — day 35, 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)
  28. 2021-04-30
    Survey response — day 42, dose 2
    MedDRA: Eye inflammation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Inflammation of right eye · Healthcare visit (other): Doctor PCP appointment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-04-30
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2021-10-29
    Dose 3 — Moderna
  33. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  35. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Congestion
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  37. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-11-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2021-11-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-21
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-12-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  44. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-01-03
  46. 2022-01-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-05-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna
22021-03-19Moderna
32021-10-29Moderna No

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Groggy and woozy. Struggling to focus

2021-03-22

Systemic reaction (other): Mild UTI symptoms

2021-03-23

Systemic reaction (other): Still mild UTI symptoms

2021-03-24

Systemic reaction (other): Mild UTI

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Diagnosed UTI
Healthcare visit (other): Prescribed antibiotics

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Swollen eye socket and sinus infection. Had an emergency eye doctor appointment Wednesday because right eye was closing up severe photosensitivity and pressure. Been off work since Wednesday
Healthcare visit (other): Emergency eye doctor appointment

Release 8 — day 42, dose 2

2021-04-30

Symptoms: Inflammation of right eye
Healthcare visit (other): Doctor PCP appointment

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Congestion

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 ✓ ✓ ✓
SDEye inflammation ✓ ✓ ✓
SDEye swelling ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDOcular discomfort ✓ ✓ ✓
SDPhotosensitivity reaction ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SRODisturbance in attention ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRORespiratory tract congestion · · ✓
SROSomnolence ✓ ✓ ✓
SROUrinary tract infection ✓ ✓ ✓

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