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J8K-20627-79123

4 vaccinations 2 coded responses 32 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
760 / TX
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
64C-11946-66380 Child or adolescent in my care · Female · 2022-06-28

Timeline

  1. 2021-03-24
    Registered in v-safe
  2. 2021-03-24
    Dose 1 — Moderna
  3. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  4. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-31
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-04-07
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-04-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-21
    Dose 2 — Moderna
  9. 2021-04-21
    Health check-in — day 0, dose 2
    Feeling: Good · Headache, Nausea
    Adult check-in
  10. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Medical counselling, Vaginal haemorrhage — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Last night I had vaginal bleeding and severe abdominal pain. I'm not sure if it was due to the shot. · Healthcare visit (other): I called ob on call about my vaginal bleeding and severe abdominal pain. She told me that if it got worse to go to the er. The bleeding eventually stopped after a couple of hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-22
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  13. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  14. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-04-28
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  18. 2021-05-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-01
  23. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-28
    Dose 3 — Moderna
  27. 2022-04-21
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-07-29
    Dose 4 — Moderna
  29. 2022-07-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  30. 2022-07-31
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  31. 2022-08-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  32. 2022-08-05
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-08-12
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-08-19
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-08-26
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-09-03
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-09-09
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-10-28
    Survey response — 3 months, dose 4
    MedDRA: COVID-19, Cough, Nasal disorder — 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 · Outpatient clinic or urgent care clinic visit
    Free text: I've had covid. Horrible nasal symptoms, and cough.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-10-28
    Report sent to call center — 3 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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  40. 2022-10-31
  41. 2022-10-31
  42. 2023-01-27
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna
32021-10-28Moderna No
42022-07-29Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Last night I had vaginal bleeding and severe abdominal pain. I'm not sure if it was due to the shot.
Healthcare visit (other): I called ob on call about my vaginal bleeding and severe abdominal pain. She told me that if it got worse to go to the er. The bleeding eventually stopped after a couple of hours.

Release 12 — 3 months, dose 4

2022-10-28

Symptoms: I've had covid. Horrible nasal symptoms, and cough.

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
HCVOAbdominal pain ✓ ✓ ✓
HCVOMedical counselling ✓ ✓ ✓
HCVOVaginal haemorrhage ✓ ✓ ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDNasal disorder · · ✓
SROAbdominal pain ✓ ✓ ✓
SROVaginal haemorrhage ✓ ✓ ✓

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