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9GT-28478-01795

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
021 / MA
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-11
    Dose 2 — Moderna
  13. 2021-02-11
    Survey response — day 0, dose 2
    MedDRA: Bell's palsy, Herpes zoster — Feeling: Poor · Be unable to work, 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: Shingles, bells palsy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-11
    Report sent to call center — day 0, dose 2
    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)
  15. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bell's palsy, Herpes zoster — Feeling: Poor · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activities
    Free text: Shingles/bells palsy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Herpes zoster — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Shingles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Herpes zoster — Feeling: Poor · Site: Pain · Headache, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Shingles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Herpes zoster — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Shingles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Herpes zoster, Pre-existing disease — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities
    Free text: Shingles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  21. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: Herpes zoster — Feeling: Poor · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Left sided facial nerve Shingles same side as vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-03

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Shingles, bells palsy

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Shingles/bells palsy

2021-02-13

Systemic reaction (other): Shingles

2021-02-14

Systemic reaction (other): Shingles

2021-02-15

Systemic reaction (other): Shingles

2021-02-16

Systemic reaction (other): Shingles

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Left sided facial nerve Shingles same side as vaccine

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
SROBell's palsy ✓ ✓ ✓
SROHerpes zoster ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ○

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

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