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ZW5-13157-17194

4 vaccinations 9 coded responses 55 check-ins 9 free-text entries 7 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
573 / SD
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Registered in v-safe
  2. 2021-03-03
    Dose 1 — Moderna
  3. 2021-03-03
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  6. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Lymph node pain, Lymphadenopathy, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Abdominal pain
    Free text: During the night I develop swelling and pain and under my right arm where the COVID-19 shot was given in the lymph nodes swollen up and were very painful however the swelling and the pain has went down throughout this day and is now mild whereas last night the pain and discomfort in the lymph nodes was moderate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-03-30
    Dose 2 — Moderna
  14. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Adult check-in
  16. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  18. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-27
    Survey response — day 28, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Be unable to work
    Free text: I think I may have had food poisoning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-29
    Survey response — 3 months, dose 2
    MedDRA: Balance disorder, Fall, Insomnia, Office visit, Sinusitis — Feeling: Poor · 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: Sinus infection currently. Balance issues falls insomnia and other symptoms. Referred to neurologist appointment pending. Brain mri done.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-06-29
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-07-06
  30. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-11-17
    Dose 3 — Moderna
  32. 2021-11-17
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · None
    Adult check-in
  33. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  36. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Itching · Muscle or body aches
    Adult check-in
  37. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  39. 2021-11-24
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2021-12-01
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-08
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-15
    Survey response — day 28, dose 3
    MedDRA: Muscle spasms, Myalgia, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Muscle aching and spasms and sore throat
    MedDRA releases: 2024-11 · check-in free text available
  43. 2021-12-15
    Report sent to call center — day 28, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  44. 2021-12-16
  45. 2021-12-22
    Survey response — day 35, dose 3
    MedDRA: Facial spasm, Hypoaesthesia, Muscle spasms, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Severe muscle spasms worsened in my neck and face and some numbness and tingling in extremities.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2021-12-22
    Report sent to call center — day 35, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  47. 2021-12-23
  48. 2021-12-29
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  49. 2022-02-16
    Survey response — 3 months, dose 3
    MedDRA: Ear haemorrhage, Mammogram abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Bleeding from ear and currently following up due to abnormal mammogram.
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-02-16
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  51. 2022-02-21
  52. 2022-05-18
    Survey response — 6 months, dose 3
    MedDRA: Breast cyst — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Cysts in left breast new benign.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-05-18
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  54. 2022-05-19
  55. 2022-05-19
  56. 2022-05-19
  57. 2022-05-19
  58. 2022-05-19
  59. 2022-10-21
    Dose 4 — Moderna
    Co-administered: Flu
  60. 2022-10-21
    Health check-in — day 0, dose 4
    Feeling: Good · Fever · None
    Adult check-in
  61. 2022-10-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  62. 2022-10-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  63. 2022-10-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  64. 2022-10-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  65. 2022-10-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  66. 2022-10-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  67. 2022-10-28
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  68. 2022-11-05
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  69. 2022-11-11
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  70. 2022-11-18
    Survey response — day 28, dose 4
    MedDRA: Arrhythmia, Chest discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Chest discomfort and arrhythmia.
    MedDRA releases: 2024-11 · check-in free text available
  71. 2022-11-18
    Report sent to call center — day 28, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  72. 2022-11-21
  73. 2022-11-21
  74. 2022-11-21
  75. 2022-11-21
  76. 2022-11-21
  77. 2022-11-21
  78. 2022-11-25
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  79. 2022-12-02
    Survey response — day 42, dose 4
    MedDRA: Chest pain, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Process of following up with cardiologists for palpitations and chest pain.
    MedDRA releases: 2024-11 · check-in free text available
  80. 2022-12-02
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  81. 2022-12-05
  82. 2022-12-05
  83. 2022-12-05
  84. 2022-12-05
  85. 2022-12-05
  86. 2022-12-05
  87. 2023-01-20
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  88. 2023-04-21
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-30Moderna
32021-11-17Moderna No
42022-10-21Moderna Flu

Call center

7 call center cases

7 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): During the night I develop swelling and pain and under my right arm where the COVID-19 shot was given in the lymph nodes swollen up and were very painful however the swelling and the pain has went down throughout this day and is now mild whereas last night the pain and discomfort in the lymph nodes was moderate

Release 8 — day 28, dose 2

2021-04-27

Symptoms: I think I may have had food poisoning.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Sinus infection currently. Balance issues falls insomnia and other symptoms. Referred to neurologist appointment pending. Brain mri done.

Release 10 — day 28, dose 3

2021-12-15

Symptoms: Muscle aching and spasms and sore throat

Release 10 — day 35, dose 3

2021-12-22

Symptoms: Severe muscle spasms worsened in my neck and face and some numbness and tingling in extremities.

Release 11 — 3 months, dose 3

2022-02-16

Symptoms: Bleeding from ear and currently following up due to abnormal mammogram.

Release 11 — 6 months, dose 3

2022-05-18

Symptoms: Cysts in left breast new benign.

Release 12 — day 28, dose 4

2022-11-18

Symptoms: Chest discomfort and arrhythmia.

Release 12 — day 42, dose 4

2022-12-02

Symptoms: Process of following up with cardiologists for palpitations and chest pain.

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
SDArrhythmia · · ✓
SDBalance disorder ✓ ✓ ✓
SDBreast cyst · · ✓
SDChest discomfort · · ✓
SDChest pain · · ✓
SDEar haemorrhage · · ✓
SDFacial spasm · · ✓
SDFall ✓ ✓ ✓
SDHypoaesthesia · · ✓
SDInsomnia ✓ ✓ ✓
SDMammogram abnormal · · ✓
SDMuscle spasms · · ✓
SDMyalgia · · ✓
SDOffice visit ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPalpitations · · ✓
SDParaesthesia · · ✓
SDSinusitis ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓

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