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EYT-30176-50903

1 vaccination 2 coded responses 3 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
214 / MD
Registered
2021-03-30
Relationship
Self
Race
Other
Ethnicity
N/A

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-03-30
    Registered in v-safe
  3. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anaphylactic reaction — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · 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: Anaphylaxis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-30
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Swelling, Itching · Nausea, Diarrhea, Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2022-03-15
  7. 2022-03-27
    Survey response — 12 months, dose 1
    MedDRA: Arthralgia, Chest pain, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Headaches, muscle/joint pains, chest pain
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-03-27
    Report sent to call center — 12 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  9. 2022-03-29

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Anaphylaxis

Release 11 — 12 months, dose 1

2022-03-27

Symptoms: Headaches, muscle/joint pains, chest pain

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
SDArthralgia · · ✓
SDChest pain · · ✓
SDHeadache · · ✓
SDMyalgia · · ✓
SROAnaphylactic reaction ✓ ✓ ✓

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