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8YG-13315-57413

1 vaccination 5 coded responses 7 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
677 / KS
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-01
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Slight runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion — Feeling: Good
    Free text: Stuffy nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-08
    Survey response — day 7, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-15
    Survey response — day 14, dose 1
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have been very tired. Also have had cold virus symptoms for a week now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2022-02-03
    Survey response — 12 months, dose 1
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I got Covid in January.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-02-03
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  11. 2022-02-04
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Slight runny nose

2021-02-06

Systemic reaction (other): Stuffy nose

Release 3 — day 7, dose 1

2021-02-08

Systemic reaction (other): Runny nose

Release 4 — day 14, dose 1

2021-02-15

Symptoms: I have been very tired. Also have had cold virus symptoms for a week now.

Release 11 — 12 months, dose 1

2022-02-03

Symptoms: I got Covid in January.

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
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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