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JKT-63400-75915

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
210 / MD
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Site: Pain
    Free text: Headache day after injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Depression — Feeling: Good · Site: Pain
    Free text: Depression
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Depressed mood — Feeling: Good
    Free text: Depressed since injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-10
    Dose 2 — Moderna
  12. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  14. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  15. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Depression — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Depression
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Depression — Feeling: Good
    Free text: Depression
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-10
    Survey response — day 28, dose 2
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Diarrhea for two days last week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-24
    Survey response — day 42, dose 2
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair
    Free text: Worsened seasonal allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-02-11
    Survey response — 12 months, dose 2
    MedDRA: Depression, Hypersensitivity, Inflammation, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: Increased inflammatory condition in hands. Worse seasonal allergies in fall. Worsened seasonal depression
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-02-11
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · 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)
  27. 2022-02-16

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-10Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Headache day after injection

2021-01-17

Systemic reaction (other): Depression

2021-01-18

Systemic reaction (other): Depressed since injection

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Depression

2021-02-16

Systemic reaction (other): Depression

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Diarrhea for two days last week

Release 6 — day 42, dose 2

2021-03-24

Symptoms: Worsened seasonal allergies

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Increased inflammatory condition in hands. Worse seasonal allergies in fall. Worsened seasonal depression

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
SDDepression · · ✓
SDDiarrhoea ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDInflammation · · ✓
SDPre-existing disease ✓ ✓ ✓
SRODepressed mood ✓ ✓ ✓
SRODepression ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

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

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