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TU5-90236-68473

1 vaccination 4 coded responses 15 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
986 / WA
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate increased — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Free text: Rapid heart rate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea, Diarrhea
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  9. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-15
    Survey response — day 14, dose 1
    MedDRA: Back pain, Erythema, Fatigue, Peripheral swelling — Feeling: Good · Be unable to work
    Free text: Fatigue, upper back pain, redness and swelling in left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-15
    Report sent to call center — day 14, dose 1
    Be unable to work
    1 call case(s)
  12. 2021-01-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-27
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-03
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-02-10
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-03-31
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-06-30
    Survey response — 6 months, dose 1
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-12-31
    Survey response — 12 months, dose 1
    MedDRA: Fatigue, Rash, Rash pruritic, Secretion discharge, Sneezing, Throat irritation — Feeling: Good
    Free text: Itchy rash on hips, shoulders, lower back, forearms Fatigue Sneezing Itchy throat with a lot of mucus in the morning
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Rapid heart rate

Release 2 — day 14, dose 1

2021-01-15

Symptoms: Fatigue, upper back pain, redness and swelling in left arm.

Release 9 — 6 months, dose 1

2021-06-30

Symptoms: Pregnancy

Release 10 — 12 months, dose 1

2021-12-31

Symptoms: Itchy rash on hips, shoulders, lower back, forearms Fatigue Sneezing Itchy throat with a lot of mucus in the morning

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
SDBack pain ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SDRash · · ✓
SDRash pruritic · · ✓
SDSecretion discharge · · ✓
SDSneezing · · ✓
SDThroat irritation · · ✓
SROHeart rate increased ✓ ✓ ✓

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