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HVJ-14982-94176

4 vaccinations 4 coded responses 27 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
110 / NY
Registered
2021-12-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
L8J-33770-01393 Child or adolescent in my care · Male · 2022-01-09

Timeline

  1. 2021-02-15
    Dose 1 — Moderna
  2. 2021-03-15
    Dose 2 — Moderna
  3. 2021-12-18
    Registered in v-safe
  4. 2022-01-09
    Dose 3 — Moderna
  5. 2022-01-09
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2022-01-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  7. 2022-01-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2022-01-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  9. 2022-01-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  10. 2022-01-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  11. 2022-01-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  12. 2022-01-16
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  13. 2022-01-23
    Survey response — day 14, dose 3
    MedDRA: Arthralgia, Fatigue — Feeling: Fair
    Free text: Fatigue, joint pain
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-01-30
    Survey response — day 21, dose 3
    MedDRA: Breast cyst, Breast pain, Endometriosis, Ovarian cyst, Pelvic pain — Feeling: Good
    Free text: Pelvic pain, endometriosis, ovarian cysts, left breast cyst pain
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-02-06
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-02-13
    Survey response — day 35, dose 3
    MedDRA: Migraine with aura — Feeling: Good · Be unable to do your normal daily activities
    Free text: Migraine with aura
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-02-20
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  18. 2022-04-10
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  19. 2022-07-10
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-09-12
    Dose 4 — Moderna
  21. 2022-09-12
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain, Swelling · Headache
    Adult check-in
  22. 2022-09-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  23. 2022-09-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache
    Adult check-in
  25. 2022-09-19
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-09-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-10-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-10-10
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-10-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-10-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-12-12
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  32. 2023-03-13
    Survey response — 6 months, dose 4
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11
  33. 2023-03-13
    Report sent to call center — 6 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  34. 2023-03-14

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Moderna No
22021-03-15Moderna No
32022-01-09Moderna No
42022-09-12Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — day 14, dose 3

2022-01-23

Symptoms: Fatigue, joint pain

Release 11 — day 21, dose 3

2022-01-30

Symptoms: Pelvic pain, endometriosis, ovarian cysts, left breast cyst pain

Release 11 — day 35, dose 3

2022-02-13

Symptoms: Migraine with aura

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 · · ✓
SDBreast cyst · · ✓
SDBreast pain · · ✓
SDCOVID-19 · · ✓
SDEndometriosis · · ✓
SDFatigue · · ✓
SDMigraine with aura · · ✓
SDOvarian cyst · · ✓
SDPelvic pain · · ✓

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

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