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66R-85409-97085

3 vaccinations 5 coded responses 37 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
432 / OH
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Dose 2 — Moderna
  12. 2021-02-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  14. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-19
    Survey response — day 14, dose 2
    MedDRA: Blood pressure increased, Ear pain, Eustachian tube dysfunction, Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Ear pain , enlarged lymph nodes , eustachain tube dysfunction and elevated blood pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-19
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-06
    Survey response — day 28, dose 2
    MedDRA: Adverse drug reaction, Gingivitis, Office visit — Feeling: Fair · 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: Doctor visit was put on B/P medicine 3/2/21. Made me sick.new B/P medicine 3/3/21 . Made me sick Nauseous and vomiting for both medicines.doctor 3/5/21 new medicine put on a diuretic. Dentist visit 3/5/21 infection in lower gums. Teeth need removed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-06
    Report sent to call center — day 28, 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)
  24. 2021-03-12
    Survey response — day 35, dose 2
    MedDRA: Gingivitis, Office visit, Tooth extraction — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Had to have 2 teeth pulled and was infection I the gum. · Healthcare visit (other): Dentist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-12
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-02
  29. 2021-08-05
  30. 2021-08-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-01-04
    Dose 3 — Moderna
  32. 2022-01-04
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-01-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-01-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2022-01-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-01-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-01-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2022-01-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2022-01-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2022-01-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-02-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-02-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-04-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-07-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna
32022-01-04Moderna No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Ear pain , enlarged lymph nodes , eustachain tube dysfunction and elevated blood pressure

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Doctor visit was put on B/P medicine 3/2/21. Made me sick.new B/P medicine 3/3/21 . Made me sick Nauseous and vomiting for both medicines.doctor 3/5/21 new medicine put on a diuretic. Dentist visit 3/5/21 infection in lower gums. Teeth need removed. cut off by CDC

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Had to have 2 teeth pulled and was infection I the gum.
Healthcare visit (other): Dentist

Release 10 — day 0, dose 3

2022-01-04

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2022-01-05

Systemic reaction (other): None

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 ✓ ✓ ✓
SDAdverse drug reaction · · ✓
SDBlood pressure increased ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDEustachian tube dysfunction ✓ ✓ ✓
SDGingivitis ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDTooth extraction ✓ ✓ ✓
SRONo adverse event · · ✓

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

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