27N-21857-96089
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 067 / CT
- Registered
- 2021-05-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-21
Dose 1 — Moderna
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2021-05-19
Registered in v-safe
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2021-05-19
Dose 2 — Moderna
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2021-05-19
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
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2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-05-24
- 2021-05-25
- 2021-05-26
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2021-06-02
Survey response — day 14, dose 2MedDRA: Urinary tract infection — Feeling: FairFree text: Feel like i have a uti without the constant urge to go and no blood in urine. Had these symptoms with first shot. Went away 5 days before 2nd shot. Started again 2 days after 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-09
Survey response — day 21, dose 2MedDRA: Groin pain, Office visit, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Swelling and pain in groin. Now taking an antibiotic for potential uti. · Healthcare visit (other): Went to primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-09
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-16
Survey response — day 28, dose 2MedDRA: Dysuria — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Burning and pain during urination. Antibiotics not helping. Going to urologist. Primary care physician found no blood in urine but prescribed antibiotics just in caseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-21
- 2021-06-23
- 2021-06-30
- 2021-08-18
- 2021-11-17
- 2022-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna | |
| 2 | 2021-05-19 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — day 14, dose 2
Symptoms: Feel like i have a uti without the constant urge to go and no blood in urine. Had these symptoms with first shot. Went away 5 days before 2nd shot. Started again 2 days after 2nd shot.
Release 9 — day 21, dose 2
Symptoms: Swelling and pain in groin. Now taking an antibiotic for potential uti.
Healthcare visit (other): Went to primary care physician
Release 9 — day 28, dose 2
Symptoms: Burning and pain during urination. Antibiotics not helping. Going to urologist. Primary care physician found no blood in urine but prescribed antibiotics just in case
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Dysuria | ✓ | ✓ | ✓ |
| SD | Groin pain | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release