26Y-17757-16470
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 134 / NY
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
-
2021-05-27
Survey response — day 28, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-06-10
- 2021-07-29
-
2021-10-28
Survey response — 6 months, dose 2MedDRA: Dizziness, Emergency care, Haemorrhage, Heavy menstrual bleeding, Intra-uterine contraceptive device insertion, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Symptoms: Excessive period bleeding. Lasted a month and a half and was very heavy · Healthcare visit (other): Went to ER because I was dizzy and lightheaded from excessive bleeding. Many follow up visits with my PA.. I was put on meds for the bleeding. I am trying an IUD before having a hysterectomyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2021-10-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-29
Survey response — 12 months, dose 2MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash on scalp, neck, chest and back. Can't figure out what it's from and nothing seems to help. Started right after my booster shot in November.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-02
-
2022-05-02
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 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 28, dose 2
Symptoms: Dizziness
Release 10 — 6 months, dose 2
Symptoms: Excessive period bleeding. Lasted a month and a half and was very heavy
Healthcare visit (other): Went to ER because I was dizzy and lightheaded from excessive bleeding. Many follow up visits with my PA.. I was put on meds for the bleeding. I am trying an IUD before having a hysterectomy
Release 11 — 12 months, dose 2
Symptoms: Rash on scalp, neck, chest and back. Can't figure out what it's from and nothing seems to help. Started right after my booster shot in November.
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 | Dizziness | · | · | ✓ |
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Haemorrhage | · | · | ✓ |
| HCVO | Intra-uterine contraceptive device insertion | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release