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P23-13577-41496

4 vaccinations 5 coded responses 21 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
934 / CA
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Dose 2 — Moderna
  4. 2021-02-04
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Dysgeusia — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Medicine-like taste in my mouth, and light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pollakiuria — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Increased urination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  7. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-05
    Survey response — 6 months, dose 2
    MedDRA: Body temperature increased, Fatigue, Headache, Hot flush, Malaise, Pain — 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: I was sick for a week and a half with extreme body fatigue, body aches, headache, hot flashes, and very mild fever 99.7
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-05
    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)
  19. 2021-10-29
    Dose 3 — Moderna
  20. 2021-11-19
  21. 2022-02-04
    Survey response — 12 months, dose 2
    MedDRA: Body temperature increased, COVID-19, Conjunctivitis, Cough, Fatigue, Oropharyngeal pain, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit
    Free text: Covid-19: congestion, sinus pressure, sore throat, infrequent cough, severe body fatigue, slight fever (99.5), and pink eye
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-02-04
    Report sent to call center — 12 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
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-02-08
  24. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  25. 2022-09-21
    Dose 4 — Moderna
  26. 2022-10-29
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in
  27. 2022-10-29
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  28. 2022-11-02
    Survey response — day 42, dose 4
    MedDRA: Epistaxis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Ongoing nose bleeds that occur at random · Healthcare visit (other): Blood draw at lab
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-11-02
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  30. 2022-11-03
  31. 2022-11-03
  32. 2022-11-03
  33. 2022-12-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2023-03-22
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna
32021-10-29Moderna No
42022-09-21Moderna No

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 0, dose 2

2021-02-04

Systemic reaction (other): Medicine-like taste in my mouth, and light headed

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Increased urination

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: I was sick for a week and a half with extreme body fatigue, body aches, headache, hot flashes, and very mild fever 99.7

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Covid-19: congestion, sinus pressure, sore throat, infrequent cough, severe body fatigue, slight fever (99.5), and pink eye

Release 12 — day 42, dose 4

2022-11-02

Symptoms: Ongoing nose bleeds that occur at random
Healthcare visit (other): Blood draw at lab

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 · · ✓
SDBody temperature increased ✓ · ✓
SDConjunctivitis · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDEpistaxis · · ✓
SDFatigue ✓ · ✓
SDHeadache ✓ · ✓
SDHot flush ✓ · ✓
SDMalaise ✓ · ✓
SDOropharyngeal pain · · ✓
SDPain ✓ · ✓
SDParanasal sinus discomfort · · ✓
SDRespiratory tract congestion · · ✓
SRODizziness ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROPollakiuria ✓ ✓ ✓

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