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BLX-25040-24125

3 vaccinations 5 coded responses 25 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
960 / CA
Registered
2021-04-25
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino
Registered dependents
52A-18175-53834 Adult relative or friend · Male · 2022-09-17

Timeline

  1. 2021-04-25
    Registered in v-safe
  2. 2021-04-25
    Dose 1 — Moderna
  3. 2021-04-25
    Survey response — day 0, dose 1
    MedDRA: Migraine — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Migraine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activities
    Free text: A bruise at the injection sight
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion — Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Bruising on my arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-04-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-16
    Dose 2 — Moderna
  13. 2021-05-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-06-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-20
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-06-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-15
    Survey response — 3 months, dose 2
    MedDRA: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I caught an upper respiratory infection. I went and got tested for COVID and it was negative. Its been 15 days and I still have a runny nose and congestion.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-08-15
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-08-23
  21. 2021-11-06
    Dose 3 — Moderna
  22. 2021-11-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-16
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  24. 2021-11-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-02-05
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-05-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-11-06
    Survey response — 12 months, dose 3
    MedDRA: Ear infection, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I have a sinus/ear infection
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-11-06
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  33. 2022-11-07
  34. 2022-11-07

Vaccinations

DoseDateManufacturerCo-administered
12021-04-25Moderna
22021-05-16Moderna
32021-11-06Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-25

Systemic reaction (other): Migraine

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): A bruise at the injection sight

2021-04-27

Systemic reaction (other): Bruising on my arm

Release 9 — 3 months, dose 2

2021-08-15

Symptoms: I caught an upper respiratory infection. I went and got tested for COVID and it was negative. Its been 15 days and I still have a runny nose and congestion.

Release 12 — 12 months, dose 3

2022-11-06

Symptoms: I have a sinus/ear infection

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
SDEar infection · · ✓
SDRespiratory tract congestion ✓ · ✓
SDRhinorrhoea ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SDSinusitis · · ✓
SDUpper respiratory tract infection ✓ · ✓
SROContusion ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROMigraine ✓ ✓ ✓

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