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CJ3-50309-05698

4 vaccinations 3 coded responses 50 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
440 / OH
Registered
2021-03-20
Relationship
Self
Race
Multiracial
Ethnicity
N/A
Registered dependents
GH2-27040-25611 Child or adolescent in my care · Female · 2023-01-04

Timeline

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Moderna
  3. 2021-03-20
    Health check-in — day 0, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Free text: Just achy a bit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-27
    Survey response — day 7, dose 1
    MedDRA: Axillary pain — Feeling: Good
    Free text: I have pain under my arm (around the armpit) for the last few days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-10
    Survey response — day 21, dose 1
    MedDRA: Polycystic ovaries — Feeling: Good
    Free text: Was diagnosed with PCOS but symptoms for this began before vaccination so likely unrelated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-17
    Dose 2 — Moderna
  14. 2021-04-17
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness
    Adult check-in
  18. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  19. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-04-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-07
    Dose 3 — Moderna
  29. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  30. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain
    Adult check-in
  31. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  32. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  33. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-14
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-21
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-28
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-06
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-05-08
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-09-07
    Dose 4 — Moderna
  43. 2022-09-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  44. 2022-09-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2022-09-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  46. 2022-09-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-09-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-09-16
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-09-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-09-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-10-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-10-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-10-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-12-07
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  55. 2023-03-08
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna
22021-04-17Moderna
32021-11-07Moderna No
42022-09-07Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Just achy a bit

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): I have pain under my arm (around the armpit) for the last few days

Release 7 — day 21, dose 1

2021-04-10

Symptoms: Was diagnosed with PCOS but symptoms for this began before vaccination so likely unrelated.

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
SDPolycystic ovaries ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROPain ✓ ✓ ✓

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

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