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DDW-26742-09342

2 vaccinations 2 coded responses 7 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
430 / OH
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-01-12
    Registered in v-safe
  3. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Dose 2 — Moderna
  8. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  9. 2021-08-09
    Survey response — 6 months, dose 2
    MedDRA: Cheilitis, Respiratory tract irritation, SARS-CoV-2 test positive, Tongue ulceration — Feeling: Good
    Free text: Mild burning in lungs and sores on tongue/inside lip. These symptoms coincided with a positive test for Covid 19.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2022-02-09
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Hospitalisation, Postural orthostatic tachycardia syndrome — 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 · Emergency room or emergency department visit, Hospitalization
    Free text: Had a booster 12/21/21 and then developed Covid 12/29/21 - was hospitalized with post Covid POTS 1/8/22.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-09
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  12. 2022-02-10

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Mild burning in lungs and sores on tongue/inside lip. These symptoms coincided with a positive test for Covid 19.

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Had a booster 12/21/21 and then developed Covid 12/29/21 - was hospitalized with post Covid POTS 1/8/22.

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
SDCheilitis ✓ · ✓
SDCOVID-19 · · ✓
SDHospitalisation · · ✓
SDPostural orthostatic tachycardia syndrome · · ✓
SDRespiratory tract irritation ✓ · ✓
SDSARS-CoV-2 test positive ✓ · ✓
SDTongue ulceration ✓ · ✓

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