67D-58637-91540
3 vaccinations
6 coded responses
37 check-ins
6 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 209 / MD
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
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2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
-
2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
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2021-01-15
Survey response — day 14, dose 1MedDRA: Toothache — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have a toothache and it is driving me nuts. Might not be relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-22
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
- 2021-01-28
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · HeadacheAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-03-12
Survey response — day 42, dose 2MedDRA: Mycobacterium tuberculosis complex test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I tested positive for TB using the quintiferon gold test. I am not sure if it can mess with the results. The test was done 3 weeks after my second dose. I went for a chest X-ray today and I am still waiting for the results. I feel fine though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-28
Survey response — 3 months, dose 2MedDRA: Latent tuberculosis, Tuberculosis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Latent TBMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
-
2021-11-13
Dose 3 — ModernaCo-administered: Flu
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2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-20
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2021-11-27
Survey response — day 14, dose 3MedDRA: Laryngitis, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Laryngitis really sore throat, feverMedDRA releases: 2024-11 · check-in free text available
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2021-11-27
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-29
- 2021-12-04
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2021-12-11
Survey response — day 28, dose 3MedDRA: Aphasia, Cough, Decreased appetite, Diarrhoea, Fatigue, Insomnia, Malaise, Oropharyngeal pain, Pain, Pharyngitis streptococcal, Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend schoolFree text: been sick since 11/22 with deep cough, sore throat, and fatigue. did a 7 day course start: 11/24 due to step throat. first week my throat was so sore I couldn't sleep, eat, or talk and I had a fever, diarrhea, vomiting. Cough & soreness gotten worseMedDRA releases: 2024-11 · check-in free text available
- 2021-12-18
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2021-12-25
Survey response — day 42, dose 3MedDRA: Cough, Office visit, Oropharyngeal pain, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I am still coughing and have a sore throat. I went to the doctor after I threw up.MedDRA releases: 2024-11 · check-in free text available
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2021-12-25
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-28
- 2022-02-12
- 2022-05-14
- 2022-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-13 | Moderna | Flu |
Call center
6 call center cases
2 successful · 4 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: I have a toothache and it is driving me nuts. Might not be related
Release 5 — day 42, dose 2
Symptoms: I tested positive for TB using the quintiferon gold test. I am not sure if it can mess with the results. The test was done 3 weeks after my second dose. I went for a chest X-ray today and I am still waiting for the results. I feel fine though.
Release 8 — 3 months, dose 2
Symptoms: Latent TB
Release 10 — day 14, dose 3
Symptoms: Laryngitis really sore throat, fever
Release 10 — day 28, dose 3
Symptoms: been sick since 11/22 with deep cough, sore throat, and fatigue. did a 7 day course start: 11/24 due to step throat. first week my throat was so sore I couldn't sleep, eat, or talk and I had a fever, diarrhea, vomiting. Cough & soreness gotten worse cut off by CDC
Release 10 — day 42, dose 3
Symptoms: I am still coughing and have a sore throat. I went to the doctor after I threw up.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Aphasia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Latent tuberculosis | ✓ | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mycobacterium tuberculosis complex test positive | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Toothache | ✓ | ✓ | ✓ |
| SD | Tuberculosis | ○ | ✓ | ○ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release