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6J4-62745-64761

3 vaccinations 5 coded responses 10 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
990 / WA
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Dose 1 — Moderna
  2. 2021-02-15
    Registered in v-safe
  3. 2021-02-15
    Dose 2 — Moderna
  4. 2021-02-15
    Survey response — day 0, dose 2
    MedDRA: Crohn's disease, Pre-existing disease — Feeling: Good · Diarrhea, Abdominal pain
    Free text: But I do have Crohns disease.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood pressure increased, Heart rate increased, Office visit, Oxygen saturation, Oxygen saturation decreased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Increased BP, pulse rate and decreased O2 saturation. · Healthcare visit (other): Phone consult with cardiologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-16
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  11. 2021-02-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-08-06
  13. 2021-11-18
    Dose 3 — Moderna
  14. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: Muscle spasms — Feeling: Good
    Free text: Wondering about new nocturnal leg cramping.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-02-18
    Survey response — 3 months, dose 3
    MedDRA: Muscle spasms — Feeling: Good
    Free text: Nocturnal leg cramps
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-05-24
    Survey response — 6 months, dose 3
    MedDRA: Angina pectoris, Catheterisation cardiac abnormal, Office visit, Peripheral arterial occlusive disease, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Symptom: Angina Diagnosed as Peripheral Artery disease. Not overweight, low cholesterol, normal BP, physically active. May not be connected. Have one stent so the did a heart Cath to give the above diagnosis. May be coincidental. Just a though. · Healthcare visit (other): Regular Cardiology Visit.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-05-24
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2022-05-25
  19. 2022-05-26
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  20. 2022-05-26
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-15Moderna
32021-11-18Moderna No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-15

Systemic reaction (other): But I do have Crohns disease.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Increased BP, pulse rate and decreased O2 saturation.
Healthcare visit (other): Phone consult with cardiologist

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Nocturnal leg cramps

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Wondering about new nocturnal leg cramping.

Release 11 — 6 months, dose 3

2022-05-24

Symptoms: Symptom: Angina Diagnosed as Peripheral Artery disease. Not overweight, low cholesterol, normal BP, physically active. May not be connected. Have one stent so the did a heart Cath to give the above diagnosis. May be coincidental. Just a though. cut off by CDC
Healthcare visit (other): Regular Cardiology 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
HCVOOffice visit ✓ ✓ ✓
SDAngina pectoris · · ✓
SDCatheterisation cardiac abnormal · · ✓
SDMuscle spasms · · ✓
SDPeripheral arterial occlusive disease · · ✓
SDPre-existing disease · · ✓
SROBlood pressure increased ✓ ✓ ✓
SROCrohn's disease ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROOxygen saturation ○ ✓ ○
SROOxygen saturation decreased ✓ · ✓
SROPre-existing disease ✓ ✓ ✓

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