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6W6-14899-81210

5 vaccinations 5 coded responses 14 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
902 / CA
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-22
    Dose 2 — Moderna
  6. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Office visit, Rash — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): I do have a rash at various places on my body but I think its from the poison oak reaction Im having from an exposure on 2/15/2021 · Healthcare visit (other): I had an appt with my dermatologist because of my poison oak reaction and received a cortisone shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-24
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dermatitis contact, Office visit — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Severe Poison oak rash · Healthcare visit (other): Visited dermatologists office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-25
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dermatitis contact — Feeling: Fair · Rash, not including the immediate area around the injection site
    Free text: Again, I have had a severe Poison Oak rash for 1.5 weeks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-03
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction, Office visit, Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Severe · Healthcare visit (other): In office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-03
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-02
  18. 2022-01-06
    Dose 3 — Moderna
  19. 2022-02-22
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-05-26
    Dose 4 — Moderna
  21. 2022-06-23
    Survey response — day 28, dose 4
    MedDRA: Asthenia, Fatigue, SARS-CoV-2 test positive, Upper respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Itested pisitive for covid june 21 2022. Fatigue, upper respiratory congestion. Today my energy is better.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-07-03
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-07-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-10-22
    Dose 5 — Moderna
    Co-administered: Flu

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-22Moderna
32022-01-06Moderna No
42022-05-26Moderna No
52022-10-22Moderna Flu

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): I do have a rash at various places on my body but I think its from the poison oak reaction Im having from an exposure on 2/15/2021
Healthcare visit (other): I had an appt with my dermatologist because of my poison oak reaction and received a cortisone shot.

2021-02-25

Systemic reaction (other): Severe Poison oak rash
Healthcare visit (other): Visited dermatologists office

2021-02-26

Systemic reaction (other): Again, I have had a severe Poison Oak rash for 1.5 weeks.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Severe
Healthcare visit (other): In office

Release 12 — day 28, dose 4

2022-06-23

Symptoms: Itested pisitive for covid june 21 2022. Fatigue, upper respiratory congestion. Today my energy is better.

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 ✓ ✓ ✓
HCVOUnevaluable event ○ ✓ ○
SDAsthenia · · ✓
SDFatigue · · ✓
SDSARS-CoV-2 test positive · · ✓
SDUpper respiratory tract congestion · · ✓
SROAdverse reaction ✓ ✓ ✓
SRODermatitis contact ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROUnevaluable event ○ · ○

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