23R-21060-30148
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 431 / OH
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
-
2021-02-02
Survey response — day 14, dose 1MedDRA: Fatigue, Suicidal ideation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had a lot of fatigue. But the 17th, I started to have suicidal thoughts, but was not suicidal. That progressed to waking up from a dream with an entire plan that I then had to convince my mind I did not want, as I had no reason or desire to die.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-05
-
2021-02-10
Dose 2 — Moderna
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Nasal discomfort — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Burning way back in my noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-12
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-07-13
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2021-08-11
Survey response — 6 months, dose 2MedDRA: Central serous chorioretinopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Central serous retinopathy to left eyeMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-15
-
2022-02-10
Survey response — 12 months, dose 2MedDRA: Condition aggravated, Myalgia, Pre-existing disease, Retinopathy, Stress, Tooth disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: My deltoid muscle has been very sore and continues to be this way, so I have referral to physical therapy. Since the booster, I have had flares of my interstitial cystitis and fibromyalgia. Dental issues and stress related retinopathy. Mental declineMedDRA releases: 2024-11 · check-in free text available
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2022-02-10
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-02-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: I had a lot of fatigue. But the 17th, I started to have suicidal thoughts, but was not suicidal. That progressed to waking up from a dream with an entire plan that I then had to convince my mind I did not want, as I had no reason or desire to die.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Burning way back in my nose
Release 9 — 6 months, dose 2
Symptoms: Central serous retinopathy to left eye
Release 11 — 12 months, dose 2
Symptoms: My deltoid muscle has been very sore and continues to be this way, so I have referral to physical therapy. Since the booster, I have had flares of my interstitial cystitis and fibromyalgia. Dental issues and stress related retinopathy. Mental decline cut off by CDC
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 | Central serous chorioretinopathy | ✓ | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Retinopathy | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SD | Suicidal ideation | ✓ | ✓ | ✓ |
| SD | Tooth disorder | · | · | ✓ |
| SRO | Nasal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release