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J3R-33291-10252

4 vaccinations 3 coded responses 15 check-ins 2 free-text entries 3 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
930 / CA
Registered
2022-04-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-27
    Dose 1 — Moderna
  2. 2021-04-27
    Dose 2 — Moderna
  3. 2021-09-01
    Dose 3 — Moderna
  4. 2022-04-02
    Dose 4 — Moderna
  5. 2022-04-03
    Registered in v-safe
  6. 2022-04-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  7. 2022-04-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2022-04-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Nausea
    Adult check-in
  9. 2022-04-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Nausea
    Adult check-in
  10. 2022-04-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fever · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  11. 2022-04-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · 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, Outpatient clinic or urgent care clinic visit
    Adult check-in
  12. 2022-04-08
    Report sent to call center — days 1–6 daily, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  13. 2022-04-11
    Health check-in — day 7, dose 4
    Feeling: Good · Headache, Nausea
    Adult check-in
  14. 2022-04-16
    Survey response — day 14, dose 4
    MedDRA: Sinusitis — Feeling: Fair
    Free text: Sinus infection
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-04-25
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  16. 2022-04-29
  17. 2022-04-30
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  18. 2022-05-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  19. 2022-05-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  20. 2022-07-04
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  21. 2022-10-01
    Survey response — 6 months, dose 4
    MedDRA: Chills, Cough, Headache, Muscle spasms, Oropharyngeal pain, Peripheral swelling, Pyrexia, Rhinalgia — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Dry cough, fever, chills headache, sore nose/throat, swollen and crampy calf
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-10-01
    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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-10-03
  24. 2022-10-03
  25. 2023-04-03
    Survey response — 12 months, dose 4
    MedDRA: Abdominal pain, Nausea — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    MedDRA releases: 2024-11
  26. 2023-04-03
    Report sent to call center — 12 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  27. 2023-04-04
    Call successful
    Does not wish to fill out VAERS report
  28. 2023-04-04
    Call successful
    Does not wish to fill out VAERS report
  29. 2023-04-04
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-27Moderna No
22021-04-27Moderna No
32021-09-01Moderna No
42022-04-02Moderna No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 11 — day 14, dose 4

2022-04-16

Symptoms: Sinus infection

Release 12 — 6 months, dose 4

2022-10-01

Symptoms: Dry cough, fever, chills headache, sore nose/throat, swollen and crampy calf

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
SDAbdominal pain · · ✓
SDChills · · ✓
SDCough · · ✓
SDHeadache · · ✓
SDMuscle spasms · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDPeripheral swelling · · ✓
SDPyrexia · · ✓
SDRhinalgia · · ✓
SDSinusitis · · ✓

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