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6F6-23052-89048

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
840 / UT
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia, Nausea — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Last night I felt nausea. Today the only muscle ache is from my shoulder up to the base of my neck on the right side. This started about an hour after my shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good · Site: Pain
    Free text: The pain is more just soreness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-13
    Dose 2 — Moderna
  11. 2021-02-13
    Survey response — day 0, dose 2
    MedDRA: Headache, Limb discomfort — Feeling: Good · Headache
    Free text: I had a small headache that did not last long. My arm is a little sore but not painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Lymph swelling under my arm with the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-20
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-02-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-13
    Survey response — 12 months, dose 2
    MedDRA: Adverse reaction, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, 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 have been on several doses of antibiotics for different things. Getting better thankfully. Tested negative for Covid twice during this.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-02-13
    Report sent to call center — 12 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
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  28. 2022-02-18
  29. 2022-02-21
  30. 2022-02-21
  31. 2022-02-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-13Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Last night I felt nausea. Today the only muscle ache is from my shoulder up to the base of my neck on the right side. This started about an hour after my shot.

2021-01-18

Systemic reaction (other): The pain is more just soreness.

Release 4 — day 0, dose 2

2021-02-13

Systemic reaction (other): I had a small headache that did not last long. My arm is a little sore but not painful.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Lymph swelling under my arm with the injection.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: I have been on several doses of antibiotics for different things. Getting better thankfully. Tested negative for Covid twice during this.

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
SDAdverse reaction · · ✓
SDSARS-CoV-2 test negative · · ✓
SROHeadache ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓

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