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6AV-31272-52340

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 5 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
194 / PA
Registered
2021-01-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-18
    Registered in v-safe
  3. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Constipation, Cough, Fatigue, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: 1/17 congestion, cough, sore throat, fever 100.2 F body aches fatigue, 1/16 constipation, fatigue, cough, sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-18
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Injection site erythema, Injection site pruritus — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Itching, red, blistered needle stick spot from 1/4/21 that had been bruised but healing but this started yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-21
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-12
    Dose 2 — Moderna
  11. 2021-02-21
    Survey response — day 7, dose 2
    MedDRA: Chills, Headache, Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Pyrexia — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: From 2/13-2/26 I had headaches, chills, fever as high as 101.1, injection site warm to touch, red, hard in the center, and itchy. None since.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-21
    Report sent to call center — day 7, dose 2
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-14
    Survey response — day 28, dose 2
    MedDRA: Ear pain, Sneezing — Feeling: Good
    Free text: Ear sores not attributed to COVID or thr vaccine. Sneezing allergy related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-26
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain, Arthralgia, Constipation, Pain, Pancreatic mass, Retching — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Symptoms: Constipation abdominal pain radiating to shoulder all left side then radiating to right side and dry heaving. · Healthcare visit (other): Multiple test showing fatty pancreatic mass
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-26
    Report sent to call center — day 42, dose 2
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-03-26
  20. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-16
    Survey response — 6 months, dose 2
    MedDRA: Cholecystectomy, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Gallbladder removal surgery /10/21 · Healthcare visit (other): Short procedural hospital visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-08-16
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  23. 2021-08-17
  24. 2021-12-10
  25. 2022-02-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Call center

5 call center cases

5 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): 1/17 congestion, cough, sore throat, fever 100.2 F body aches fatigue, 1/16 constipation, fatigue, cough, sore throat

2021-01-21

Systemic reaction (other): Itching, red, blistered needle stick spot from 1/4/21 that had been bruised but healing but this started yesterday.

Release 4 — day 7, dose 2

2021-02-21

Systemic reaction (other): From 2/13-2/26 I had headaches, chills, fever as high as 101.1, injection site warm to touch, red, hard in the center, and itchy. None since.

Release 5 — day 28, dose 2

2021-03-14

Symptoms: Ear sores not attributed to COVID or thr vaccine. Sneezing allergy related.

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Constipation abdominal pain radiating to shoulder all left side then radiating to right side and dry heaving.
Healthcare visit (other): Multiple test showing fatty pancreatic mass

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: Gallbladder removal surgery /10/21
Healthcare visit (other): Short procedural hospital visit

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
HCVOPancreatic mass ✓ ✓ ✓
HCVOSurgery ✓ · ✓
SDAbdominal pain ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCholecystectomy ✓ · ✓
SDConstipation ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDRetching ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROConstipation ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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