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DAR-18265-37189

4 vaccinations 2 coded responses 49 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
134 / NY
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-01-23
    Registered in v-safe
  3. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-19
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-25
    Dose 2 — Moderna
  14. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Foot operation, Self-medication — Feeling: Fair · Site: Redness, Itching · Fever · Fatigue or tiredness
    Free text: I had foot surgery 2/23 so side effects hard to tell w regimen of ibprofen, antibiotic & oxy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  16. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Fatigue or tiredness
    Adult check-in
  17. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-17
    Dose 3 — Moderna
  27. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  28. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  29. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-26
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-12-01
    Survey response — day 14, dose 3
    MedDRA: Nasal congestion, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · 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: Sore throat, stuffy nose/ head
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-01
    Report sent to call center — day 14, 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)
  35. 2021-12-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  36. 2021-12-08
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-22
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-29
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-16
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-05-20
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-11-19
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2023-02-09
    Dose 4 — Moderna
  43. 2023-02-09
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2023-02-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Itching · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  45. 2023-02-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  46. 2023-02-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2023-02-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2023-02-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2023-02-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2023-02-16
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2023-02-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  52. 2023-03-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  53. 2023-03-09
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  54. 2023-03-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  55. 2023-03-23
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-05-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-25Moderna
32021-11-17Moderna No
42023-02-09Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): I had foot surgery 2/23 so side effects hard to tell w regimen of ibprofen, antibiotic & oxy.

Release 10 — day 14, dose 3

2021-12-01

Symptoms: Sore throat, stuffy nose/ head

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
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SROFoot operation ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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

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