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AQV-22646-91580

3 vaccinations 8 coded responses 15 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
432 / OH
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Dose 1 — Moderna
  2. 2021-03-25
    Registered in v-safe
  3. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling
    Free text: Injection administered extremely high
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Redness is a small patch of red about 1-2 inches below where the injection site was
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good · Site: Swelling
    Free text: Bruising around injection site (I should have listed this previously as well)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good · Site: Swelling
    Free text: Bruising at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good · Site: Swelling
    Free text: Bruising at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-07
    Survey response — day 14, dose 1
    MedDRA: Arthralgia — Feeling: Good
    Free text: Shoulder pain and soreness (internal)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-21
    Dose 2 — Moderna
  11. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Good · Site: Redness, Swelling · Muscle or body aches
    Free text: Had chills twice yesterday but didnt include on symptom assessment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-10-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-25
    Dose 3 — Moderna
  16. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  17. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-04-25
    Survey response — 6 months, dose 3
    MedDRA: Clostridium difficile infection, Deep vein thrombosis, Episiotomy, Mastitis postpartum, Perineal injury, Postpartum state, Pulmonary embolism, Superficial vein thrombosis, Urinary tract infection — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Postpartum health complications (third degree episiotomy tear, bilateral pulmonary emboli, DVTs, superficial clots, UTI, mastitis twice, C diff)
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-25
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  21. 2022-04-26
  22. 2022-04-28

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna
32021-10-25Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Injection administered extremely high

2021-03-26

Systemic reaction (other): Redness is a small patch of red about 1-2 inches below where the injection site was

2021-03-28

Systemic reaction (other): Bruising around injection site (I should have listed this previously as well)

2021-03-29

Systemic reaction (other): Bruising at injection site

2021-03-30

Systemic reaction (other): Bruising at injection site

Release 7 — day 14, dose 1

2021-04-07

Symptoms: Shoulder pain and soreness (internal)

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Had chills twice yesterday but didnt include on symptom assessment

Release 11 — 6 months, dose 3

2022-04-25

Symptoms: Postpartum health complications (third degree episiotomy tear, bilateral pulmonary emboli, DVTs, superficial clots, UTI, mastitis twice, C diff)

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
SDArthralgia ✓ ✓ ✓
SDClostridium difficile infection · · ✓
SDDeep vein thrombosis · · ✓
SDEpisiotomy · · ✓
SDMastitis postpartum · · ✓
SDPerineal injury · · ✓
SDPostpartum state · · ✓
SDPulmonary embolism · · ✓
SDSuperficial vein thrombosis · · ✓
SDUrinary tract infection · · ✓
SROChills ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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