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6B4-12050-37147

4 vaccinations 10 coded responses 35 check-ins 9 free-text entries 4 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
024 / MA
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Dose 1 — Moderna
  2. 2021-02-26
    Dose 2 — Moderna
  3. 2021-03-01
    Registered in v-safe
  4. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue, Headache, Myalgia, Nausea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: On feb. 27 day after the vaccination I felt nausea, headache, fatigue,muscle aches,chills,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-01
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  7. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-03
    Survey response — day 35, dose 2
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Im feeling exhausted
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-28
    Survey response — 3 months, dose 2
    MedDRA: Balance disorder, Nausea, Wrist fracture — Feeling: Good · 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: Temporary disequilibrium and naseau.Lost balance, fell and broke wrist.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-28
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-17
  16. 2021-08-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-16
    Dose 3 — Moderna
  18. 2021-10-16
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-10-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2021-10-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  22. 2021-10-23
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-10-30
    Survey response — day 14, dose 3
    MedDRA: Influenza like illness, Mental impairment — Feeling: Good
    Free text: One day I felt as if I was coming down with the flu and a little fuzzy thinking. I worried it might be covid but I was fine the next day.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-07
    Survey response — day 21, dose 3
    MedDRA: Pain in extremity, Tinnitus — Feeling: Good
    Free text: I have had loud tinnitus since my vaccine and also a sore vaccinated upper arm. I neglected to report those 2 things to you before since I was not sure there was any connection to the vaccine?
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-13
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-22
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-28
    Survey response — day 42, dose 3
    MedDRA: Pain in extremity — Feeling: Good
    Free text: My upper right arm is painful mostly at nightsince the vaccination not sure if it's related to the shot
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-01-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-04-08
    Dose 4 — Moderna
  30. 2022-04-08
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  31. 2022-04-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  32. 2022-04-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-04-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache
    Adult check-in
  34. 2022-04-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-04-15
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-04-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-05-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-07-08
    Survey response — 3 months, dose 4
    MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I had COVID
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-07-08
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  43. 2022-07-11
  44. 2022-07-11
  45. 2022-07-11
  46. 2022-10-07
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  47. 2023-04-08
    Survey response — 12 months, dose 4
    MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11
  48. 2023-04-08
    Report sent to call center — 12 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  49. 2023-04-10
  50. 2023-04-10
  51. 2023-04-10
  52. 2023-04-10
  53. 2023-04-20
  54. 2023-04-20
  55. 2023-04-20
  56. 2023-04-20

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Moderna
22021-02-26Moderna
32021-10-16Moderna No
42022-04-08Moderna 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 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): On feb. 27 day after the vaccination I felt nausea, headache, fatigue,muscle aches,chills,

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Im feeling exhausted

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Temporary disequilibrium and naseau.Lost balance, fell and broke wrist.

Release 10 — day 0, dose 3

2021-10-16

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-17

Systemic reaction (other): No

Release 10 — day 14, dose 3

2021-10-30

Symptoms: One day I felt as if I was coming down with the flu and a little fuzzy thinking. I worried it might be covid but I was fine the next day.

Release 10 — day 21, dose 3

2021-11-07

Symptoms: I have had loud tinnitus since my vaccine and also a sore vaccinated upper arm. I neglected to report those 2 things to you before since I was not sure there was any connection to the vaccine?

Release 10 — day 42, dose 3

2021-11-28

Symptoms: My upper right arm is painful mostly at nightsince the vaccination not sure if it's related to the shot

Release 12 — 3 months, dose 4

2022-07-08

Symptoms: I had COVID

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
SDBalance disorder ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDMental impairment · · ✓
SDNausea ✓ ✓ ✓
SDPain in extremity · · ✓
SDTinnitus · · ✓
SDWrist fracture ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONo adverse event · · ✓

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

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