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U29-20487-72230

3 vaccinations 3 coded responses 18 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
291 / SC
Registered
2021-01-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-04
    Registered in v-safe
  2. 2021-01-04
    Dose 1 — Moderna
  3. 2021-01-04
    Survey response — day 0, dose 1
    MedDRA: Palpitations — Feeling: Poor · Site: Pain · Diarrhea · Be unable to do your normal daily activities
    Free text: Palpitations
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-04
    Report sent to call center — day 0, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-01-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-21
    Dose 2 — Moderna
  14. 2021-01-25
    Survey response — day 21, dose 1
    MedDRA: Influenza like illness — Feeling: Good
    Free text: Flu like symptoms 12-24 hours after immunization
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-01
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-02-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-22
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Be unable to work or attend school, 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: Sob
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-07-22
    Report sent to call center — 6 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
    1 call case(s)
  24. 2021-07-26
  25. 2021-08-27
    Dose 3 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-01-21Moderna
32021-08-27Pfizer-BioNTech No

Call center

2 call center cases

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

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): Palpitations

Release 2 — day 21, dose 1

2021-01-25

Symptoms: Flu like symptoms 12-24 hours after immunization

Release 9 — 6 months, dose 2

2021-07-22

Symptoms: Sob

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
SDDyspnoea · · ✓
SDInfluenza like illness ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓

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