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SF2-24005-71114

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
467 / IN
Registered
2021-04-13
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino
Registered dependents
6C7-27337-27892 Child or adolescent in my care · Female · 2021-12-19

Timeline

  1. 2021-04-13
    Registered in v-safe
  2. 2021-04-13
    Dose 1 — Moderna
  3. 2021-04-13
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  7. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  9. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-25
    Dose 2 — Moderna
  11. 2021-12-16
    Dose 3 — Moderna
  12. 2021-12-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lacrimation increased, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, Sneezing — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat, sinus pressure, runny nose, runny eyes, sneezing
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discharge, Lacrimation increased, Productive cough, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lots of drainage, wet cough, runny eyes and nose
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Lacrimation increased, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Runny eyes and nose, cough
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Discharge, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Severe congestion and drainage
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-12-23
    Survey response — day 7, dose 3
    MedDRA: Discharge, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Lots of drainage and congestion
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-12-30
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  18. 2022-01-06
    Survey response — day 21, dose 3
    MedDRA: Blood pressure increased, Migraine, Respiratory tract congestion — Feeling: Fair · 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: Severe migraine, congestion, increased blood pressure
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-01-06
    Report sent to call center — day 21, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  20. 2022-01-07
  21. 2022-01-13
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-01-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-01-27
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  24. 2022-03-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-06-16
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  26. 2022-12-16
    Survey response — 12 months, dose 3
    MedDRA: Malaise, Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Sick with random viruses, possibly RSV at one point. No COVID yet that I'm aware of
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-12-16
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  28. 2022-12-19
  29. 2022-12-19

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-25Moderna No
32021-12-16Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-19

Systemic reaction (other): Sore throat, sinus pressure, runny nose, runny eyes, sneezing

2021-12-20

Systemic reaction (other): Lots of drainage, wet cough, runny eyes and nose

2021-12-21

Systemic reaction (other): Runny eyes and nose, cough

2021-12-22

Systemic reaction (other): Severe congestion and drainage

Release 10 — day 7, dose 3

2021-12-23

Systemic reaction (other): Lots of drainage and congestion

Release 10 — day 21, dose 3

2022-01-06

Symptoms: Severe migraine, congestion, increased blood pressure

Release 12 — 12 months, dose 3

2022-12-16

Symptoms: Sick with random viruses, possibly RSV at one point. No COVID yet that I'm aware of

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
SDBlood pressure increased · · ✓
SDMalaise · · ✓
SDMigraine · · ✓
SDRespiratory tract congestion · · ✓
SDViral infection · · ✓
SROCough · · ✓
SRODischarge · · ✓
SROLacrimation increased · · ✓
SROOropharyngeal pain · · ✓
SROParanasal sinus discomfort · · ✓
SROProductive cough · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓
SROSneezing · · ✓

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