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LZK-23107-57702

4 vaccinations 2 coded responses 55 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
627 / IL
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
T4F-30569-86013 Child or adolescent in my care · Male · 2021-09-13
LLS-15927-14163 Child or adolescent in my care · Female · 2021-11-11
DB6-93234-04358 Child or adolescent in my care · Female · 2022-06-30

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-26
    Dose 2 — Moderna
  14. 2021-01-26
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  15. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  20. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-27
    Survey response — 3 months, dose 2
    MedDRA: Dyspepsia — Feeling: Good
    Free text: Indigestion, heart burn
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-07-27
    Survey response — 6 months, dose 2
    MedDRA: Dyspepsia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Indigestion, possible ulcer
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-07-27
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-08-04
  31. 2021-08-04
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  32. 2021-10-28
    Dose 3 — Moderna
  33. 2021-10-28
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  35. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  36. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  37. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  38. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  40. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  44. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  45. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-04-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  48. 2022-09-16
    Dose 4 — Moderna
  49. 2022-09-16
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-09-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  51. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  52. 2022-09-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  54. 2022-09-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  55. 2022-09-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  56. 2022-09-23
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  57. 2022-09-30
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-10-07
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-10-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  60. 2022-10-21
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  61. 2022-10-28
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  62. 2022-12-16
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  63. 2023-03-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna
32021-10-28Moderna No
42022-09-16Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-04-27

Symptoms: Indigestion, heart burn

Release 9 — 6 months, dose 2

2021-07-27

Symptoms: Indigestion, possible ulcer

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
SDDyspepsia ✓ ✓ ✓

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

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