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CSK-17799-29626

1 vaccination 4 coded responses 9 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
656 / MO
Registered
2021-07-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-16
    Dose 1 — Moderna
  2. 2021-07-18
    Registered in v-safe
  3. 2021-07-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · Headache, Abdominal pain
    Adult check-in
  4. 2021-07-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Constipation, Hyperthyroidism — Feeling: Good
    Free text: Constipation- hyperthyroidism so I'm never usually constipated
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-07-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Abdominal pain
    Adult check-in
  6. 2021-07-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  7. 2021-07-23
    Health check-in — day 7, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  8. 2021-07-30
    Survey response — day 14, dose 1
    MedDRA: Chest discomfort, Cough, Pharyngeal disorder — Feeling: Fair
    Free text: Throat cough and heavy chest.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-06
    Survey response — day 21, dose 1
    MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: I got covid.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-08-06
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-08-10
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  12. 2021-08-15
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2022-07-16
    Survey response — 12 months, dose 1
    MedDRA: Fatigue, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue. Sore throat. Headaches.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-07-16Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-20

Systemic reaction (other): Constipation- hyperthyroidism so I'm never usually constipated

Release 9 — day 14, dose 1

2021-07-30

Symptoms: Throat cough and heavy chest.

Release 9 — day 21, dose 1

2021-08-06

Symptoms: I got covid.

Release 12 — 12 months, dose 1

2022-07-16

Symptoms: Fatigue. Sore throat. Headaches.

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
SDChest discomfort ✓ · ✓
SDCough ✓ · ✓
SDCOVID-19 ✓ · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDPharyngeal disorder ✓ · ✓
SROConstipation · · ✓
SROHyperthyroidism · · ✓

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