KTJ-24163-25068
2 vaccinations
6 coded responses
18 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 023 / MA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Survey response — day 7, dose 1MedDRA: Injection site reaction — Feeling: Good · Site: Redness, SwellingFree text: 1 week after my first shot I developed a reaction around the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-07
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Joint painsAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Joint painsAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Lacrimation increased, Rhinorrhoea — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workFree text: Cough, runny nose and eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tirednessFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Neck pain — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Severe neck pain and headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
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2021-03-21
Survey response — day 35, dose 2MedDRA: Injection site rash — Feeling: GoodFree text: Small rash at vaccine sightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-05-16
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2022-02-12
Survey response — 12 months, dose 2MedDRA: 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 consultationFree text: I had CovidMedDRA releases: 2024-11 · check-in free text available
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2022-02-12
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-02-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): 1 week after my first shot I developed a reaction around the injection site.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Cough, runny nose and eyes
Systemic reaction (other): Runny nose
Systemic reaction (other): Severe neck pain and headache
Release 6 — day 35, dose 2
Symptoms: Small rash at vaccine sight
Release 11 — 12 months, dose 2
Symptoms: I had Covid
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release