222-16063-49300
4 vaccinations
8 coded responses
45 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 454 / OH
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Just really sleepy! And on the next question I'm retired so I'm not working or anything out side the home.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
-
2021-02-18
Health check-in — day 7, dose 2Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Blood pressure decreased, Office visit, Sciatica — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sciatica pain and I went to a chiropractor to get it straightened out and it lasted 8 weeks. All better now. I got a shingles vaccine last Friday and my blood pressure dropped. But it's back to normal now. I was a key on Saturday and Sunday!MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-25
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature decreased — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Temp 96.7 this morning.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature abnormal — Feeling: Good · Fatigue or tirednessFree text: My temp is back up to normal.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-12
Dose 4 — Moderna
- 2022-04-18
-
2022-04-19
Survey response — day 7, dose 4MedDRA: Asthma — Feeling: GoodFree text: AsthmaMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
-
2022-05-03
Survey response — day 21, dose 4MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I took two covid test and they both came back positive. I'm seeing my doctor tomorrow and I'm not feeling well at all!MedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-04
Call successfulCompleted over the phone
- 2022-05-10
- 2022-05-17
-
2022-05-24
Survey response — day 42, dose 4MedDRA: Productive cough, Sputum discoloured — Feeling: GoodFree text: Coughing up a lot of green. I feel fine though and I do not have a fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-12
- 2022-10-11
-
2023-04-12
Survey response — 12 months, dose 4MedDRA: Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just really sleepy! And on the next question I'm retired so I'm not working or anything out side the home.
Release 9 — 6 months, dose 2
Symptoms: Sciatica pain and I went to a chiropractor to get it straightened out and it lasted 8 weeks. All better now. I got a shingles vaccine last Friday and my blood pressure dropped. But it's back to normal now. I was a key on Saturday and Sunday!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Temp 96.7 this morning.
Systemic reaction (other): My temp is back up to normal.
Release 11 — day 7, dose 4
Systemic reaction (other): Asthma
Release 11 — day 21, dose 4
Symptoms: I took two covid test and they both came back positive. I'm seeing my doctor tomorrow and I'm not feeling well at all!
Release 11 — day 42, dose 4
Symptoms: Coughing up a lot of green. I feel fine though and I do not have a fever.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Blood pressure decreased | ✓ | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sciatica | ✓ | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SRO | Asthma | · | · | ✓ |
| SRO | Body temperature abnormal | · | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release