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6WL-12975-45854

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
851 / AZ
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Moderna
  3. 2021-03-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia, Sleep disorder — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Cant sleep since vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Good
    Free text: Coughing more but attribute it to allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Office visit — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Im not sure that the back pain Im experiencing the last 3 days has anything at all to do with Covid. I have back problems but they have really gotten bad in the last 3 days. · Healthcare visit (other): Chiropractor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-11
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-12
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Joint pains · Be unable to do your normal daily activities
    Free text: I dont think my problems are caused by vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-28
    Survey response — day 21, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: Rash on sides of face and neck. Not particularly itchy. This is the 2nd time now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-03
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-08
    Dose 2 — Moderna
  15. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Nasopharyngitis, Pain, Respiratory tract congestion, Somnolence — Feeling: Fair · Fever · Be unable to do your normal daily activities
    Free text: Felt like I had a cold coming on, stuffed up. Think allergies more than shot reaction. Extremely tired and achy slept most of afternoon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: The fatigue from yesterday was less this morning and getting better
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-03-02
  23. 2022-03-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-08Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Cant sleep since vaccine

2021-03-07

Systemic reaction (other): Coughing more but attribute it to allergies

2021-03-11

Systemic reaction (other): Im not sure that the back pain Im experiencing the last 3 days has anything at all to do with Covid. I have back problems but they have really gotten bad in the last 3 days.
Healthcare visit (other): Chiropractor

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): I dont think my problems are caused by vaccine

Release 6 — day 21, dose 1

2021-03-28

Symptoms: Rash on sides of face and neck. Not particularly itchy. This is the 2nd time now

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Felt like I had a cold coming on, stuffed up. Think allergies more than shot reaction. Extremely tired and achy slept most of afternoon.

2021-04-13

Systemic reaction (other): The fatigue from yesterday was less this morning and getting 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 ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInsomnia · · ✓
SRONasopharyngitis ✓ ✓ ✓
SROPain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSleep disorder ✓ ✓ ○
SROSomnolence ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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