227-21555-07793
3 vaccinations
3 coded responses
18 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 923 / CA
- Registered
- 2022-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-01-04
Dose 1 — Moderna
-
2022-01-25
Registered in v-safe
-
2022-02-09
Dose 2 — Moderna
-
2022-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2022-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, NauseaAdult check-in
- 2022-02-12
- 2022-02-14
- 2022-02-15
- 2022-02-16
- 2022-02-23
- 2022-03-02
- 2022-03-09
-
2022-03-16
Survey response — day 35, dose 2MedDRA: Headache — Feeling: FairFree text: I've been getting headaches but I don't think it's related to getting vaccinatedMedDRA releases: 2024-11 · check-in free text available
- 2022-03-23
- 2022-05-11
- 2022-08-10
-
2022-09-14
Dose 3 — Moderna
-
2022-10-09
Survey response — day 21, dose 3MedDRA: Condition aggravated, Fatigue, Medical counselling, Myalgia, Pre-existing disease, Systemic lupus erythematosus — 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 consultationFree text: Symptoms: I don't think they're vaccine related, I've recently been diagnosed with Lupus and think it's possibly from that. Muscle pain and excessive tiredness on the daily for approx 2 mos. Most recently flank pain (which I had hx with as a child) · Healthcare visit (other): And a regular dr visit based on messagingMedDRA releases: 2024-11 · check-in free text available
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2022-10-09
Report sent to call center — day 21, dose 3Be 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)
-
2022-10-10
Call successfulNot applicable - Accidental Reporting
- 2022-10-12
- 2022-10-19
- 2022-10-27
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2022-12-14
Survey response — 3 months, dose 3MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — 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: Sore throat, fever, cough, congestion, body aches, headacheMedDRA releases: 2024-11 · check-in free text available
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2022-12-14
Report sent to call center — 3 months, dose 3Be 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)
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2022-12-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-04 | Moderna | No |
| 2 | 2022-02-09 | Moderna | No |
| 3 | 2022-09-14 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 11 — day 35, dose 2
Symptoms: I've been getting headaches but I don't think it's related to getting vaccinated
Release 12 — day 21, dose 3
Symptoms: I don't think they're vaccine related, I've recently been diagnosed with Lupus and think it's possibly from that. Muscle pain and excessive tiredness on the daily for approx 2 mos. Most recently flank pain (which I had hx with as a child)
Healthcare visit (other): And a regular dr visit based on messaging
Release 12 — 3 months, dose 3
Symptoms: Sore throat, fever, cough, congestion, body aches, headache
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Systemic lupus erythematosus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release