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STK-87756-25692

2 vaccinations 5 coded responses 8 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
761 / TX
Registered
2020-12-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-27
    Registered in v-safe
  2. 2020-12-27
    Dose 1 — Moderna
  3. 2020-12-27
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Itching of arms/chest area. No rash.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness
    Free text: Lots of itching on chest and arms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-16
    Survey response — day 14, dose 1
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Positive for Covid-19
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-16
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-01-17
    Survey response — day 21, dose 1
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with Covid on 1/14/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-17
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-01-25
    Survey response — day 28, dose 1
    MedDRA: Pneumonia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work, 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 positive and now have a lung infection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-25
    Report sent to call center — day 28, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-25
    Dose 2 — Moderna
  14. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-27Moderna
22021-02-25Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Itching of arms/chest area. No rash.

2020-12-29

Systemic reaction (other): Lots of itching on chest and arms

Release 2 — day 14, dose 1

2021-01-16

Symptoms: Positive for Covid-19

Release 2 — day 21, dose 1

2021-01-17

Symptoms: Diagnosed with Covid on 1/14/21

Release 2 — day 28, dose 1

2021-01-25

Symptoms: Covid positive and now have a lung infection

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 ✓ ✓ ✓
SDPneumonia ✓ ✓ ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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