AEG-50345-87286
4 vaccinations
10 coded responses
51 check-ins
10 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 231 / VA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
RJA-12159-64143
Child or adolescent in my care · Male · 2022-06-24
Timeline
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2021-01-28
Registered in v-safe
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2021-01-28
Dose 1 — Moderna
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2021-01-28
Survey response — day 0, dose 1MedDRA: Swelling face — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Face swelling on same side of the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — day 0, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-31
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
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2021-02-25
Dose 2 — Moderna
- 2021-02-25
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
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2021-03-04
Health check-in — day 7, dose 2Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-18
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-05-19
- 2021-05-27
- 2021-08-26
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2021-10-29
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion, Sneezing, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Congestion and violent sneezes · Healthcare visit (other): Checked with school nurse to see if it was okay to teachMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Burning hot in 40 degree weather with thin cardigan on. Very congested.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-12
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2021-11-19
Survey response — day 21, dose 3MedDRA: Ear infection, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Ear infection · Healthcare visit (other): In person follow-upMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Report sent to call center — day 21, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-23
- 2021-11-26
- 2021-12-05
- 2021-12-10
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2022-01-30
Survey response — 3 months, dose 3MedDRA: Lip swelling, Nasopharyngitis, Rash, Urticaria — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Had a type of sinus cold from December 18-January 15. Rash causing whelps and swollen lips January 8-12.MedDRA releases: 2024-11 · check-in free text available
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2022-01-30
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-01
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2022-05-01
Survey response — 6 months, dose 3MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Acid refluxMedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-02
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2022-09-10
Dose 4 — Moderna
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2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-09-12
Survey response — days 1–6 daily, dose 4MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
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2022-09-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-09-15
- 2022-09-16
- 2022-09-19
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-12-10
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-09-10 | Moderna | No |
Call center
6 call center cases
6 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Face swelling on same side of the injection site
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Nasal congestion
Systemic reaction (other): Congestion and violent sneezes
Healthcare visit (other): Checked with school nurse to see if it was okay to teach
Systemic reaction (other): Burning hot in 40 degree weather with thin cardigan on. Very congested.
Systemic reaction (other): Congestion
Release 10 — day 21, dose 3
Release 11 — 3 months, dose 3
Symptoms: Had a type of sinus cold from December 18-January 15. Rash causing whelps and swollen lips January 8-12.
Release 11 — 6 months, dose 3
Symptoms: Acid reflux
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Stuffy nose
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Lip swelling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release