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6JH-13435-57107

4 vaccinations 13 coded responses 46 check-ins 13 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
211 / MD
Registered
2021-05-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-01
    Registered in v-safe
  2. 2021-05-01
    Dose 1 — Moderna
  3. 2021-05-01
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-05-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Diarrhea
    Free text: Sniffles, runny nose, mild sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Fair · Site: Pain · Fever · Chills
    Free text: Cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Night sweats — Feeling: Fair · Fever · Chills
    Free text: Night sweats (last night)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Chills
    Adult check-in
  8. 2021-05-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-08
    Health check-in — day 7, dose 1
    Feeling: Good · Chills
    Adult check-in
  11. 2021-05-15
    Survey response — day 14, dose 1
    MedDRA: Chills — Feeling: Fair
    Free text: Chills
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-22
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-05-29
    Dose 2 — Moderna
  14. 2021-05-29
    Survey response — day 0, dose 2
    MedDRA: Back pain, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Headache
    Free text: Back ache, sniffles, soar throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache
    Free text: Slight cough and soar throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Headache
    Adult check-in
  17. 2021-06-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Fair · Fever · Chills, Muscle or body aches
    Free text: Irritating cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Dyspnoea, Rhinorrhoea — Feeling: Fair · Fever · Chills, Diarrhea
    Free text: Cough, sniffles popover shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains
    Adult check-in
  20. 2021-06-05
    Survey response — day 7, dose 2
    MedDRA: Cough, Dyspnoea — Feeling: Fair · Fever · Chills, Headache · Be unable to do your normal daily activities
    Free text: Cough,possible shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-12
    Survey response — day 14, dose 2
    MedDRA: Discharge, Dyspnoea, Emergency care, Hospitalisation, Oedema, Pulmonary oedema — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Hospitalized w/adema, shortness of breath, fluid tapped (lining R lung) · Healthcare visit (other): Paramedics
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-12
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-06-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-23
  25. 2021-06-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-10
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-08-18
    Call successful
    Completed over the phone
  29. 2021-08-20
  30. 2021-08-28
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  31. 2021-11-22
    Dose 3 — Moderna
  32. 2021-11-28
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  33. 2021-11-30
    Survey response — day 7, dose 3
    MedDRA: Chills, Injection site pain, Pre-existing disease — Feeling: Good
    Free text: I received the booster shot on 11/22/21 because I am immunocompromised, the next day I felt pain at the site and had chills for a few days
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-07
    Survey response — day 14, dose 3
    MedDRA: Chills, Cough — Feeling: Good
    Free text: Had cough/chills
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-14
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  36. 2021-12-20
    Survey response — day 28, dose 3
    MedDRA: Chills, Cough, Dizziness — Feeling: Fair
    Free text: Dizziness, cough, chills
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-05-24
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-07-02
    Dose 4 — Moderna
  42. 2022-07-02
    Health check-in — day 0, dose 4
    Feeling: Good · Fever · None
    Adult check-in
  43. 2022-07-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Chills
    Adult check-in
  44. 2022-07-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fever · None
    Adult check-in
  45. 2022-07-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  46. 2022-07-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  47. 2022-07-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-07-09
    Health check-in — day 7, dose 4
    Feeling: Fair · None
    Adult check-in
  49. 2022-07-16
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  50. 2022-07-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-07-30
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  52. 2022-08-06
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-08-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-10-01
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  55. 2022-12-31
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-01Moderna
22021-05-29Moderna
32021-11-22Moderna No
42022-07-02Moderna No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-02

Systemic reaction (other): Sniffles, runny nose, mild sore throat

2021-05-03

Systemic reaction (other): Cough

2021-05-04

Systemic reaction (other): Night sweats (last night)

Release 8 — day 14, dose 1

2021-05-15

Symptoms: Chills

Release 8 — day 0, dose 2

2021-05-29

Systemic reaction (other): Back ache, sniffles, soar throat

Release 8 — days 1–6 daily, dose 2

2021-05-30

Systemic reaction (other): Slight cough and soar throat

2021-06-02

Systemic reaction (other): Irritating cough

2021-06-03

Systemic reaction (other): Cough, sniffles popover shortness of breath

Release 8 — day 7, dose 2

2021-06-05

Systemic reaction (other): Cough,possible shortness of breath

Release 9 — day 14, dose 2

2021-06-12

Symptoms: Hospitalized w/adema, shortness of breath, fluid tapped (lining R lung)
Healthcare visit (other): Paramedics

Release 10 — day 7, dose 3

2021-11-30

Systemic reaction (other): I received the booster shot on 11/22/21 because I am immunocompromised, the next day I felt pain at the site and had chills for a few days

Release 10 — day 14, dose 3

2021-12-07

Symptoms: Had cough/chills

Release 10 — day 28, dose 3

2021-12-20

Symptoms: Dizziness, cough, chills

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
HCVOEmergency care ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough · · ✓
SDDischarge ✓ ✓ ○
SDDizziness · · ✓
SDDyspnoea ✓ ✓ ✓
SDHospitalisation · · ✓
SDOedema · · ✓
SDPulmonary oedema · · ✓
SROBack pain ✓ ✓ ✓
SROChills · · ✓
SROCough ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROInjection site pain · · ✓
SRONight sweats ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPre-existing disease · · ✓
SRORhinorrhoea ✓ ✓ ✓

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