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YEH-45371-05580

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
641 / MO
Registered
2021-01-01
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-24
    Dose 1 — Moderna
  2. 2021-01-01
    Registered in v-safe
  3. 2021-01-01
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-01-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-14
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Back pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Back pain, some pain in my hip. Not abnormal, Ive had these issues in the past, but it usually builds. Its okay today but was fairly significant for a couple of days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-14
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-22
    Dose 2 — Moderna
  8. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-02-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-26
    Survey response — day 35, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Slight headaches, more like a pulse with low level pain for a few seconds and then it passes. One day I think I experienced 6 or 7. Its completely random, and I dont have a history of headaches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-23
    Survey response — 6 months, dose 2
    MedDRA: Sinus congestion — Feeling: Good
    Free text: Allergies maybe? Nothing significant, but some sinus congestion
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2022-01-22
    Survey response — 12 months, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school
    Free text: Had a head cold. Was tested and covid negative.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-24Moderna
22021-01-22Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-14 priority 2/3

Free text

Release 2 — day 21, dose 1

2021-01-14

Symptoms: Back pain, some pain in my hip. Not abnormal, Ive had these issues in the past, but it usually builds. Its okay today but was fairly significant for a couple of days.

Release 4 — day 35, dose 2

2021-02-26

Symptoms: Slight headaches, more like a pulse with low level pain for a few seconds and then it passes. One day I think I experienced 6 or 7. Its completely random, and I dont have a history of headaches.

Release 9 — 6 months, dose 2

2021-07-23

Symptoms: Allergies maybe? Nothing significant, but some sinus congestion

Release 11 — 12 months, dose 2

2022-01-22

Symptoms: Had a head cold. Was tested and covid negative.

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
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDPre-existing disease ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDSinus congestion ✓ · ✓

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