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6EL-14232-81691

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
018 / MA
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Dose 1 — Moderna
  2. 2021-01-11
    Registered in v-safe
  3. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypopnoea — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Difficult to take deep breath's
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Productive cough — Feeling: Fair · Joint pains, Fatigue or tiredness
    Free text: I'm kinda flemy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-01-13
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-23
    Survey response — day 14, dose 1
    MedDRA: Pain, Rash — Feeling: Good · Be unable to do your normal daily activities
    Free text: I developed a rash under my left breast. I had some body aches yesterday. No fever .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-06
    Dose 2 — Moderna
  13. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling · Chills, Headache, Joint pains · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Joint pains
    Adult check-in
  16. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Rash, not including the immediate area around the injection site
    Adult check-in
  17. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Itching · Diarrhea, Rash, not including the immediate area around the injection site
    Adult check-in
  18. 2021-02-13
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-08
    Survey response — 3 months, dose 2
    MedDRA: Pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: I had a day out the blue that my whole body ached . It felt like I got the shot all over again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-08-07
    Survey response — 6 months, dose 2
    MedDRA: Autoimmune disorder, Inflammatory marker increased, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have had a lot of aches and pains. I went to my doctor. She did a lot of blood work. I test positive for an autoimmune disease. The inflammation is very high in my blood work.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2022-02-06
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-06Moderna

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

2021-01-11

Systemic reaction (other): Difficult to take deep breath's

2021-01-12

Systemic reaction (other): I'm kinda flemy

Release 2 — day 14, dose 1

2021-01-23

Symptoms: I developed a rash under my left breast. I had some body aches yesterday. No fever .

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: I had a day out the blue that my whole body ached . It felt like I got the shot all over again.

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: I have had a lot of aches and pains. I went to my doctor. She did a lot of blood work. I test positive for an autoimmune disease. The inflammation is very high in my blood work.

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
SDAutoimmune disorder ✓ · ✓
SDInflammatory marker increased ✓ · ✓
SDOffice visit ✓ · ✓
SDPain ✓ ✓ ✓
SDRash ✓ ✓ ✓
SRODyspnoea ○ ○ ○
SROHypopnoea ✓ ✓ ✓
SROProductive cough ✓ ✓ ✓

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