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MJZ-69090-52645

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
125 / NY
Registered
2021-04-26
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-26
    Registered in v-safe
  2. 2021-04-26
    Dose 1 — Moderna
  3. 2021-04-26
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-04-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Loss of personal independence in daily activities, Pain in extremity — Feeling: Good · Site: Pain
    Free text: Yesterday I had a lot of pain in my left arm where I got the injection. Couldnt exercise. Today as well, but a little less.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nausea — Feeling: Good · Site: Pain · Nausea
    Free text: Nausea last night after working out
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: A little light-headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-24
    Dose 2 — Moderna
  13. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  15. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Nausea, Abdominal pain
    Adult check-in
  16. 2021-05-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Nausea
    Adult check-in
  17. 2021-05-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Nausea
    Adult check-in
  19. 2021-05-31
    Health check-in — day 7, dose 2
    Feeling: Good · Nausea, Abdominal pain
    Adult check-in
  20. 2021-06-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-14
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-06-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-07
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-08-23
    Survey response — 3 months, dose 2
    MedDRA: SARS-CoV-2 test positive, Unevaluable event — 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 · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: I tested positive for Covid on 8/20/21. · Healthcare visit (other): Havent had it yet but schedule for a telehealth Dr appt tomorrow AM.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-08-23
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  26. 2021-08-24
  27. 2021-11-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-26Moderna
22021-05-24Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Yesterday I had a lot of pain in my left arm where I got the injection. Couldnt exercise. Today as well, but a little less.

2021-04-29

Systemic reaction (other): Nausea last night after working out

2021-04-30

Systemic reaction (other): A little light-headed

Release 9 — 3 months, dose 2

2021-08-23

Symptoms: I tested positive for Covid on 8/20/21.
Healthcare visit (other): Havent had it yet but schedule for a telehealth Dr appt tomorrow AM.

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
HCVOUnevaluable event ✓ · ✓
SDSARS-CoV-2 test positive ✓ · ✓
SRODizziness ✓ ✓ ✓
SROInjection site pain · · ✓
SROLoss of personal independence in daily activities · · ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ○

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