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GBX-25847-00606

1 vaccination 2 coded responses 9 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
457 / OH
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-01-26
    Registered in v-safe
  3. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Unevaluable event — Feeling: Fair · Site: Pain
    Free text: Symptoms that are unrelated to vaccine present
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-05
    Survey response — day 14, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: Left upper arm pain, from shoulder to elbow. Resolved in less than 12 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-05
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  9. 2021-02-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-19
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-07-23
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2022-01-22
    Health check-in — 12 months, dose 1
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Symptoms that are unrelated to vaccine present

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Left upper arm pain, from shoulder to elbow. Resolved in less than 12 hours.

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
SDPain in extremity ✓ ✓ ✓
SROAdverse reaction ✓ · ✓
SROUnevaluable event ○ ✓ ○

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