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S5V-39367-74669

2 vaccinations 3 coded responses 11 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
031 / NH
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-05
    Dose 1 — Moderna
  2. 2021-04-06
    Registered in v-safe
  3. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  5. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Headache, Nausea
    Free text: Swollen glands
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-04-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-05-04
    Dose 2 — Moderna
  9. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  12. 2021-05-24
    Survey response — day 14, dose 2
    MedDRA: Abdominal discomfort — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Continued upset stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-08-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2022-05-09
    Survey response — 12 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: Covid
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-05-09
    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 · 1 call case(s)
  16. 2022-05-10
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Moderna
22021-05-04Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Swollen glands

Release 8 — day 14, dose 2

2021-05-24

Symptoms: Continued upset stomach

Release 11 — 12 months, dose 2

2022-05-09

Symptoms: 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
SDAbdominal discomfort ✓ ✓ ✓
SDCOVID-19 · · ✓
SROLymphadenopathy ✓ ✓ ✓

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