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6PM-53930-62235

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
307 / GA
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Fair · Site: Pain, Swelling · Joint pains · Be unable to do your normal daily activities
    Free text: Pain decreased as day ptogressed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-09
    Dose 2 — Moderna
  13. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-24
    Survey response — day 14, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Took 2nd shot on 2/9/21. Soreness at shot site a little more and 3 days this time. Brief flashes of pain at site of shot on 5th and 7th days after.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-02
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Injection site pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Random pain in left deltoid (inj. Site) still. New yesterday was sudden tiredness from arms and shoulders to top of head that lasted for about 20 min.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-10
    Survey response — 6 months, dose 2
    MedDRA: Heart rate irregular, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: After 2nd shot in Feb., injection site area red, swollen, hot to touch painful for abt 5 days with intermittant for a longer time. In June I had a CT- Cardiac Calcium Score after irregular heart beats. It was negative. · Healthcare visit (other): Saw my primary care
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-10
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-08-18
  23. 2022-02-11
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Cough, Medical counselling, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Omicron with cough that lasted 2+ wks · Healthcare visit (other): Called MD office inhaler and cough med ordered. Strep swab done later for continued sore throat -neg
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-02-11
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2022-02-15

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Call center

3 call center cases

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

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Pain decreased as day ptogressed

Release 4 — day 14, dose 2

2021-02-24

Symptoms: Took 2nd shot on 2/9/21. Soreness at shot site a little more and 3 days this time. Brief flashes of pain at site of shot on 5th and 7th days after.

Release 4 — day 21, dose 2

2021-03-02

Symptoms: Random pain in left deltoid (inj. Site) still. New yesterday was sudden tiredness from arms and shoulders to top of head that lasted for about 20 min.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: After 2nd shot in Feb., injection site area red, swollen, hot to touch painful for abt 5 days with intermittant for a longer time. In June I had a CT- Cardiac Calcium Score after irregular heart beats. It was negative.
Healthcare visit (other): Saw my primary care

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Omicron with cough that lasted 2+ wks
Healthcare visit (other): Called MD office inhaler and cough med ordered. Strep swab done later for continued sore throat -neg

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
HCVOMedical counselling · · ✓
HCVOOffice visit ✓ · ✓
HCVOOropharyngeal pain · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDHeart rate irregular ✓ · ✓
SDInjection site erythema ✓ · ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site swelling ✓ · ✓
SDInjection site warmth ✓ · ✓
SROPain ✓ ✓ ✓

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