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6CA-32665-64373

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 1 call case
Sex
—
Age at first dose
26-30
ZIP prefix
191 / PA
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  5. 2020-12-31
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Angioedema, Self-medication — Feeling: Good · Site: Pain
    Free text: Angioedema- small amount of swelling near right elbow. I take 10mg cetirizine everyday, 20mg when I have an allergic reaction like this. It usually occurs when my immune system is active (cold, flu, etc)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-27
    Dose 2 — Moderna
  14. 2021-01-27
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Itchiness at left inner wrist and left fingers
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  18. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Hypersensitivity, Joint swelling, Pre-existing disease, Pruritus — Feeling: Good · Headache, Muscle or body aches
    Free text: Small allergic reaction on inner right wrist, light swelling, redness, itchiness. Looks like my usual angioadema
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-02-03
    Survey response — day 7, dose 2
    MedDRA: Angioedema, Lip swelling, Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: Swollen lower lip, a symptom of my angioadema. It went down after taking cetirizine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-10
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain upper, Constipation — Feeling: Good · Be unable to do your normal daily activities
    Free text: Stomach pain, constipation, stomach cramping.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-01-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Angioedema- small amount of swelling near right elbow. I take 10mg cetirizine everyday, 20mg when I have an allergic reaction like this. It usually occurs when my immune system is active (cold, flu, etc)

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Itchiness at left inner wrist and left fingers

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Small allergic reaction on inner right wrist, light swelling, redness, itchiness. Looks like my usual angioadema

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Swollen lower lip, a symptom of my angioadema. It went down after taking cetirizine.

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Stomach pain, constipation, stomach cramping.

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
SDAbdominal pain upper ✓ ✓ ✓
SDConstipation ✓ ✓ ✓
SROAngioedema ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROJoint swelling ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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