B7E-28420-86164
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 391 / MS
- Registered
- 2021-07-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-06
Registered in v-safe
-
2021-07-06
Dose 1 — Moderna
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2021-07-06
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Just barely got it 5 min aboMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-07-09
-
2021-07-10
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · HeadacheFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-12
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: GoodFree text: Chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-13
- 2021-07-20
- 2021-07-29
-
2021-08-03
Survey response — day 28, dose 1MedDRA: Rash — Feeling: FairFree text: RashMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Dose 2 — Moderna
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2021-08-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-08-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-08-12
- 2021-08-19
- 2021-08-28
- 2021-09-02
- 2021-09-09
- 2021-09-18
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2021-11-04
Survey response — 3 months, dose 2MedDRA: Cough, Hepatomegaly, Rhinorrhoea — Feeling: Poor · 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: Cough runny nose liver swellingMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — 3 months, dose 2Be 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)
- 2021-11-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-06 | Moderna | No |
| 2 | 2021-08-05 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Just barely got it 5 min abo
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pain
Systemic reaction (other): Chest tightness
Release 9 — day 28, dose 1
Symptoms: Rash
Release 10 — 3 months, dose 2
Symptoms: Cough runny nose liver swelling
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Hepatomegaly | · | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release