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MVJ-52290-94833

4 vaccinations 1 coded response 38 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
030 / NH
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-27
    Dose 2 — Moderna
  13. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  17. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-28
    Survey response — 6 months, dose 2
    MedDRA: 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 · Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with Covid
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-08-28
    Report sent to call center — 6 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)
  29. 2021-11-12
    Dose 3 — Moderna
  30. 2021-12-14
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  31. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-05-04
    Dose 4 — Moderna
  33. 2022-05-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  34. 2022-05-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2022-05-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-05-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-05-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-05-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-05-25
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-06-01
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-06-08
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-06-15
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-08-03
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2023-05-04
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-27Moderna
32021-11-12Moderna No
42022-05-04Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Diagnosed with 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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 ✓ · ✓

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

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