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68L-24708-27356

2 vaccinations 3 coded responses 26 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
623 / IL
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Moderna
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-24
    Survey response — day 14, dose 1
    MedDRA: Injection site pain, Injection site rash, Pain, Rash erythematous, Rash pruritic, Reaction to previous exposure to any vaccine — Feeling: Good
    Free text: Red rash near injection site on my arm about 2 1/2 long by 1 wide. Itchy but not like poison ivy itchy. Also pain in my childhood vaccination circle. But for both, the next day it was almost gone and 2nd day after it was gone completely
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-07
    Dose 2 — Moderna
  14. 2021-04-07
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Fatigue or tiredness
    Free text: Shoulders hurting from fibromyalgia probably
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Diarrhea
    Adult check-in
  21. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-04-07
    Survey response — 12 months, dose 2
    MedDRA: Head injury, Loss of consciousness, Office visit, Sinusitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I passed out in my home Jan 11. Hit my head on wood chair. Hurt for 4 weeks. Got a sinus infection in Feb. lasted about 6 days. · Healthcare visit (other): Dr apt
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-04-07
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2022-04-15

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Red rash near injection site on my arm about 2 1/2 long by 1 wide. Itchy but not like poison ivy itchy. Also pain in my childhood vaccination circle. But for both, the next day it was almost gone and 2nd day after it was gone completely

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Shoulders hurting from fibromyalgia probably

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: I passed out in my home Jan 11. Hit my head on wood chair. Hurt for 4 weeks. Got a sinus infection in Feb. lasted about 6 days.
Healthcare visit (other): Dr apt

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 · · ✓
SDHead injury · · ✓
SDInjection site pain ✓ ✓ ○
SDInjection site rash · · ✓
SDLoss of consciousness · · ✓
SDPain · · ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic · · ✓
SDReaction to previous exposure to any vaccine · · ✓
SDSinusitis · · ✓
SROArthralgia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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