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PT5-51106-27734

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
895 / NV
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain, Paraesthesia oral — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work
    Free text: Sore throat, mouth tingling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-31
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-25
    Dose 2 — Moderna
  12. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  13. 2022-01-28
    Survey response — 12 months, dose 2
    MedDRA: Arrhythmia, Strabismus, Surgery — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Dysrhythmia and had surgery to correct strabismus.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-01-28
    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
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  15. 2022-02-01

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-25Moderna

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Sore throat, mouth tingling

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Dysrhythmia and had surgery to correct strabismus.

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
SDArrhythmia · · ✓
SDStrabismus · · ✓
SDSurgery · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓

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