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UCV-24507-11069

2 vaccinations 3 coded responses 15 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
915 / CA
Registered
2021-01-02
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-02
    Registered in v-safe
  3. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: fatigue about 6 hrs after the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-02
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-27
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-01
    Dose 2 — Moderna
  13. 2021-02-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: These symptoms were experienced in 2/2/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  15. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-02-01
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Chills, Dyspnoea, Fatigue, Fluid replacement, Headache, Pyrexia — Feeling: Good · 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, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Covid : chills , fever , headache , extreme fatigue , SOB · Healthcare visit (other): At home IV hydration
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-01
    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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-02-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-02-01Moderna

Call center

2 call center cases

1 successful · 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): fatigue about 6 hrs after the vaccine

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): These symptoms were experienced in 2/2/21

Release 11 — 12 months, dose 2

2022-02-01

Symptoms: Covid : chills , fever , headache , extreme fatigue , SOB
Healthcare visit (other): At home IV hydration

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
HCVOFluid replacement · · ✓
SDChills · · ✓
SDCOVID-19 · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDPyrexia · · ✓
SROFatigue ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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