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ELR-90863-15485

5 vaccinations 1 coded response 21 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
105 / NY
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Registered in v-safe
  2. 2021-03-03
    Dose 1 — Moderna
  3. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-31
    Dose 2 — Moderna
  9. 2021-03-31
    Survey response — day 0, dose 2
    MedDRA: Autoimmune thyroiditis, Pre-existing disease — Feeling: Good
    Free text: Hashimotos
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Vomiting
    Adult check-in
  11. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Poor · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-26
    Dose 3 — Moderna
  17. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-04-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-06-14
    Dose 4 — Moderna
  23. 2022-10-14
    Dose 5 — Moderna
  24. 2022-10-20
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  25. 2022-11-04
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  26. 2022-11-27
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  27. 2023-01-15
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna
32021-04-26Moderna No
42022-06-14Moderna No
52022-10-14Moderna No

Free text

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Hashimotos

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
SROAutoimmune thyroiditis ✓ ✓ ✓
SROPre-existing disease ○ ✓ ○

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

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