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6VD-25661-38153

4 vaccinations 15 coded responses 43 check-ins 15 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
875 / NM
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal distension, Decreased appetite — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Bloating, no appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Headache, Abdominal pain
    Adult check-in
  7. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No, I feel great today and totally back to normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Abdominal pain
    Adult check-in
  9. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Survey response — day 21, dose 1
    MedDRA: Arthralgia — Feeling: Good
    Free text: Joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-08
    Dose 2 — Moderna
  13. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Joint pains
    Free text: I have the sensation that Im having trouble breathing. I keep checking my BO levels and they are excellent for high altitude. They range from 97 - 99
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Good · Headache
    Free text: Still feel like I am having difficulty breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Joint pains
    Adult check-in
  17. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Joint pains
    Adult check-in
  19. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-02
    Dose 3 — Moderna
  27. 2021-11-02
    Survey response — day 0, dose 3
    MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Ringing in my ears
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Ringing in ears
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Ringing in ears
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tinnitus — Feeling: Good · Site: Itching
    Free text: Ringing in ears
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tinnitus — Feeling: Good · Site: Itching
    Free text: Ringing in ears
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tinnitus — Feeling: Good
    Free text: Ringing in ears
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-09
    Survey response — day 7, dose 3
    MedDRA: Tinnitus — Feeling: Good
    Free text: Ringing in ears
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-01
    Survey response — 3 months, dose 3
    MedDRA: COVID-19 — Feeling: Poor · 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 Covid
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-02-01
    Report sent to call center — 3 months, dose 3
    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)
  42. 2022-02-03
  43. 2022-02-04
  44. 2022-05-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-10-06
    Dose 4 — Moderna
  46. 2022-10-30
    Survey response — day 21, dose 4
    MedDRA: Fatigue, Muscle twitching — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Since my last Booster October 6th I have had extreme fatigue. I also still have regular twitching at the injection site similar to an eye lid type twitch.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-11-03
    Health check-in — day 28, dose 4
    Feeling: Poor
    Adult check-in
  48. 2022-11-10
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-11-17
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  50. 2023-01-05
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  51. 2023-04-06
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna
32021-11-02Moderna No
42022-10-06Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Bloating, no appetite

2021-03-16

Systemic reaction (other): No, I feel great today and totally back to normal

Release 6 — day 21, dose 1

2021-04-01

Symptoms: Joint pain

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Swollen lymph nodes

2021-04-10

Systemic reaction (other): I have the sensation that Im having trouble breathing. I keep checking my BO levels and they are excellent for high altitude. They range from 97 - 99

2021-04-11

Systemic reaction (other): Still feel like I am having difficulty breathing

Release 10 — day 0, dose 3

2021-11-02

Systemic reaction (other): Ringing in my ears

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Ringing in ears

2021-11-04

Systemic reaction (other): Ringing in ears

2021-11-05

Systemic reaction (other): Ringing in ears

2021-11-06

Systemic reaction (other): Ringing in ears

2021-11-07

Systemic reaction (other): Ringing in ears

Release 10 — day 7, dose 3

2021-11-09

Systemic reaction (other): Ringing in ears

Release 11 — 3 months, dose 3

2022-02-01

Symptoms: I have Covid

Release 12 — day 21, dose 4

2022-10-30

Symptoms: Since my last Booster October 6th I have had extreme fatigue. I also still have regular twitching at the injection site similar to an eye lid type twitch.

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
SDArthralgia ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDMuscle twitching · · ✓
SROAbdominal distension ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROTinnitus · · ✓

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