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CRV-28083-05566

3 vaccinations 4 coded responses 24 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
980 / WA
Registered
2021-04-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-10
    Registered in v-safe
  2. 2021-04-10
    Dose 1 — Moderna
  3. 2021-04-10
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  4. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-08
    Dose 2 — Moderna
  13. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Sore arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Night sweats — Feeling: Good
    Free text: Night sweats
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-05
    Survey response — day 28, dose 2
    MedDRA: Dizziness — Feeling: Good · Be unable to work
    Free text: Light headedness, dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-08
    Dose 3 — Moderna
  26. 2021-12-08
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-03-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-09-08
    Survey response — 12 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Covid
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-09-08
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2022-09-09
  31. 2022-09-09
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-04-10Moderna
22021-05-08Moderna
32021-09-08Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): Sore arm

2021-05-12

Systemic reaction (other): Night sweats

Release 8 — day 28, dose 2

2021-06-05

Symptoms: Light headedness, dizzy

Release 12 — 12 months, dose 3

2022-09-08

Symptoms: Covid

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
SDCOVID-19 · · ✓
SDDizziness ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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