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P43-38870-26248

3 vaccinations 7 coded responses 36 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
553 / MN
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-08
    Dose 2 — Moderna
  13. 2021-04-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-20
    Survey response — day 42, dose 2
    MedDRA: Dermatitis contact, Rash — Feeling: Good
    Free text: Rash on knee (probably poison ivy not vaccine-related)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-20
    Dose 3 — Moderna
  29. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  30. 2021-11-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-27
    Health check-in — day 7, dose 3
    Feeling: Good · Headache
    Adult check-in
  35. 2021-12-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-11
    Survey response — day 21, dose 3
    MedDRA: Viral infection — Feeling: Fair
    Free text: virus unrelated to vaccine
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-01-01
    Survey response — day 42, dose 3
    MedDRA: Cough, Malaise, Nasopharyngitis, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Cold, cough, congestion, low-grade fever, general malaise
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-02-21
    Survey response — 3 months, dose 3
    MedDRA: COVID-19, Sinusitis — Feeling: Fair · 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: Sinus infection after Covid-19 infection
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-02-21
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  40. 2022-02-25
    Call successful
    Not applicable - Accidental Reporting
  41. 2022-05-21
    Survey response — 6 months, dose 3
    MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Various viral/cold/allergies going around
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-05-21
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  43. 2022-05-23
  44. 2022-05-23
  45. 2022-11-22
    Survey response — 12 months, dose 3
    MedDRA: Pregnancy — Feeling: Fair
    Free text: Pregnancy-related symptoms/effects
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna
32021-11-20Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): No

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Rash on knee (probably poison ivy not vaccine-related)

Release 10 — day 21, dose 3

2021-12-11

Symptoms: virus unrelated to vaccine

Release 10 — day 42, dose 3

2022-01-01

Symptoms: Cold, cough, congestion, low-grade fever, general malaise

Release 11 — 3 months, dose 3

2022-02-21

Symptoms: Sinus infection after Covid-19 infection

Release 11 — 6 months, dose 3

2022-05-21

Symptoms: Various viral/cold/allergies going around

Release 12 — 12 months, dose 3

2022-11-22

Symptoms: Pregnancy-related symptoms/effects

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDDermatitis contact ✓ ✓ ✓
SDMalaise · · ✓
SDNasopharyngitis · · ✓
SDPregnancy · · ✓
SDPyrexia · · ✓
SDRash ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSinusitis · · ✓
SDUnevaluable event · · ✓
SDViral infection · · ✓
SRONo adverse event ✓ ✓ ✓

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

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