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UMZ-13919-95220

2 vaccinations 1 coded response 8 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
197 / DE
Registered
2021-04-28
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-28
    Registered in v-safe
  3. 2021-04-28
    Dose 2 — Moderna
  4. 2021-04-28
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  5. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-10-27
    Survey response — 6 months, dose 2
    MedDRA: Multiple sclerosis, Pre-existing disease, Subdural haematoma — 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 · Hospitalization
    Free text: Subdural hematoma, MS relapse with new lesions
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-27
    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
    Hospitalization · 1 call case(s)
  12. 2021-10-29
  13. 2022-04-28
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Subdural hematoma, MS relapse with new lesions

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
SDMultiple sclerosis · · ✓
SDPre-existing disease · · ✓
SDSubdural haematoma · · ✓

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