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JVD-19104-60312

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
282 / NC
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Moderna
  3. 2021-03-31
    Survey response — day 0, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Soreness around injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache · Be unable to work
    Adult check-in
  5. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain — Feeling: Good · Muscle or body aches
    Free text: Pain in armpit on same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-07
    Survey response — day 7, dose 1
    MedDRA: Axillary pain, Pain — Feeling: Good · Muscle or body aches
    Free text: Dull pain still present in left armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-14
    Survey response — day 14, dose 1
    MedDRA: Injection site rash, Lymphadenopathy, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Developed an injection site rash 1.5 weeks after vaccination with swollen lymph nodes in axilla. · Healthcare visit (other): Consulted a physician friend
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-14
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-04-21
    Survey response — day 21, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Pain in left lower leg
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-28
    Dose 2 — Moderna
  14. 2021-04-28
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  15. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Elevated resting heart rate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy test positive — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Free text: Positive pregnancy test
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  18. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-05-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-28
    Survey response — 3 months, dose 2
    MedDRA: Biopsy, Hypersensitivity, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe rash on left breast. Biopsy results showed allergic reaction. Allergen still unknown
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-07-28
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-08-02

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Soreness around injection site

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Pain in armpit on same side as injection

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): Dull pain still present in left armpit

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Developed an injection site rash 1.5 weeks after vaccination with swollen lymph nodes in axilla.
Healthcare visit (other): Consulted a physician friend

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Pain in left lower leg

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Elevated resting heart rate

2021-04-30

Systemic reaction (other): Positive pregnancy test

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Severe rash on left breast. Biopsy results showed allergic reaction. Allergen still unknown

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
HCVOMedical counselling ✓ ✓ ✓
SDBiopsy ✓ · ✓
SDHypersensitivity ✓ · ✓
SDInjection site rash ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRash ✓ · ✓
SROAxillary pain ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPregnancy test positive ✓ ✓ ✓

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