28H-65595-88582
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 857 / AZ
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Moderna
-
2021-02-15
Registered in v-safe
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: I have a runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-03-14
Dose 2 — Moderna
- 2021-03-14
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-19
- 2021-04-25
- 2021-06-13
- 2021-09-12
-
2022-03-14
Survey response — 12 months, dose 2MedDRA: Ear congestion, Ear infection fungal, Ear pain, Laboratory test abnormal, Medical counselling, Office visit — Feeling: Good · 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: Symptoms: On New Year's Day I got an earache. It was painful and my doctor called in some drops that helped the pain. The ear still felt full so I went to the doctor around Jan 6 where they saw I had a fungal ear infection. It was treated by an ENT. · Healthcare visit (other): Because of my earache, I went to a pop up test site on Jan 4. The rapid test I got was negative. I also did a PCR test. I did not receive the positive PCR results until Jan 24. The sample did not reach the lab until Jan 14. Not best practices.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-14
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-15
-
2022-03-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-14 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have a runny nose
Release 11 — 12 months, dose 2
Symptoms: On New Year's Day I got an earache. It was painful and my doctor called in some drops that helped the pain. The ear still felt full so I went to the doctor around Jan 6 where they saw I had a fungal ear infection. It was treated by an ENT.
Healthcare visit (other): Because of my earache, I went to a pop up test site on Jan 4. The rapid test I got was negative. I also did a PCR test. I did not receive the positive PCR results until Jan 24. The sample did not reach the lab until Jan 14. Not best practices.
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 | Ear pain | · | · | ✓ |
| HCVO | Laboratory test abnormal | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Ear infection fungal | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release