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R4T-12092-12849

3 vaccinations 3 coded responses 24 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
906 / CA
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Dose 1 — Moderna
  2. 2021-03-06
    Registered in v-safe
  3. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-11
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain — Feeling: Good
    Free text: Lymph node under jaw hurts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-16
    Survey response — day 14, dose 1
    MedDRA: Injection site rash, Self-medication — Feeling: Good
    Free text: Had a bullseye rash at vaccine sight. Grew overnight then took a half of Benadryl. And it was lighter the third day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-30
    Dose 2 — Moderna
  10. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Diarrhea
    Adult check-in
  14. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tiredness
    Adult check-in
  15. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  17. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  18. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-26
    Dose 3 — Moderna
  26. 2022-03-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-05-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-11-26
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Infection, Pancreatitis, Sinusitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization
    Free text: Pancreatis, blood infection, sinus infection. Covid 19
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-11-26
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  30. 2022-11-28
  31. 2022-11-28
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna
32021-11-26Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Lymph node under jaw hurts

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Had a bullseye rash at vaccine sight. Grew overnight then took a half of Benadryl. And it was lighter the third day.

Release 12 — 12 months, dose 3

2022-11-26

Symptoms: Pancreatis, blood infection, sinus infection. Covid 19

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 · · ✓
SDInfection · · ✓
SDInjection site rash ✓ ✓ ✓
SDPancreatitis · · ✓
SDSelf-medication ✓ ✓ ✓
SDSinusitis · · ✓
SROLymph node pain ✓ ✓ ✓

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