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RMF-10581-56069

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
751 / TX
Registered
2021-09-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-17
    Registered in v-safe
  2. 2021-09-17
    Dose 1 — Moderna
  3. 2021-09-17
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2021-09-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypogeusia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Very diminished taste
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-09-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-09-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-09-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-09-24
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache
    Adult check-in
  10. 2021-10-03
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain — Feeling: Fair
    Free text: Pain in my abdomen
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-08
    Survey response — day 21, dose 1
    MedDRA: Adnexa uteri pain — Feeling: Fair
    Free text: Pain in my ovaries
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-10-15
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-10-22
    Survey response — day 35, dose 1
    MedDRA: Abdominal pain, Chest pain, Emergency care, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Abdominal pain and chest pain. Went to the ED · Healthcare visit (other): CT scan
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-22
    Report sent to call center — day 35, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  15. 2021-10-25
    Dose 2 — Moderna
  16. 2021-10-25
  17. 2021-10-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-10-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness
    Free text: Swollen lymph nodes in my neck and under my clavicle on both sides
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-10-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Swollen lymph nodes in my neck
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-01
    Survey response — day 7, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Lymph nodes swollen
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-08
    Survey response — day 14, dose 2
    MedDRA: Chills, Fatigue, Hyperhidrosis, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Swollen lymph nodes and chills, sweating, fatigue
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-12-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-12-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-01-24
    Survey response — 3 months, dose 2
    MedDRA: COVID-19 — Feeling: Poor · 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
    Free text: Positive for covid
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-01-24
    Report sent to call center — 3 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 · 1 call case(s)
  27. 2022-01-26
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  28. 2022-04-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-09-17Moderna No
22021-10-25Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-18

Systemic reaction (other): Very diminished taste

2021-09-19

Systemic reaction (other): Dizziness

Release 9 — day 14, dose 1

2021-10-03

Symptoms: Pain in my abdomen

Release 10 — day 21, dose 1

2021-10-08

Symptoms: Pain in my ovaries

Release 10 — day 35, dose 1

2021-10-22

Symptoms: Abdominal pain and chest pain. Went to the ED
Healthcare visit (other): CT scan

Release 10 — days 1–6 daily, dose 2

2021-10-30

Systemic reaction (other): Swollen lymph nodes in my neck and under my clavicle on both sides

2021-10-31

Systemic reaction (other): Swollen lymph nodes in my neck

Release 10 — day 7, dose 2

2021-11-01

Systemic reaction (other): Lymph nodes swollen

Release 10 — day 14, dose 2

2021-11-08

Symptoms: Swollen lymph nodes and chills, sweating, fatigue

Release 11 — 3 months, dose 2

2022-01-24

Symptoms: Positive for 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
HCVOUnevaluable event · · ✓
SDAbdominal pain · · ✓
SDAdnexa uteri pain · · ✓
SDChest pain · · ✓
SDChills · · ✓
SDCOVID-19 · · ✓
SDEmergency care · · ✓
SDFatigue · · ✓
SDHyperhidrosis · · ✓
SDLymphadenopathy · · ✓
SRODizziness · · ✓
SROHypogeusia · · ✓
SROLymphadenopathy · · ✓

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