28T-91286-36987
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 242 / VA
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-15
Survey response — day 14, dose 1MedDRA: Headache, Pain, Pre-existing disease — Feeling: FairFree text: Slight headache today and yesterday. Pain is always in area where I had my stroke 5 years agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
-
2021-03-29
Dose 2 — Moderna
- 2021-04-07
- 2021-04-12
-
2021-04-19
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: I had a headache for about 4 hours last evening but am better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Survey response — day 28, dose 2MedDRA: Eye pain, Headache, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have reoccurring discomfort behind my left eye up into my forehead. Sometimes it affects my vision. Going to see my PCP. · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-03
Survey response — day 35, dose 2MedDRA: Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Having a slight headache behind left eye and in left temple. This has happened several times in the last few weeks. I do have a test scheduled for later in the month. · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-10
Survey response — day 42, dose 2MedDRA: Eye pain, Headache, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Headaches and pain especially behind left eye. I am having tests run in a few days. · Healthcare visit (other): Doctor office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-02
- 2021-06-28
- 2021-09-27
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 5 — day 14, dose 1
Symptoms: Slight headache today and yesterday. Pain is always in area where I had my stroke 5 years ago
Release 7 — day 21, dose 2
Symptoms: I had a headache for about 4 hours last evening but am better now.
Release 8 — day 28, dose 2
Symptoms: I have reoccurring discomfort behind my left eye up into my forehead. Sometimes it affects my vision. Going to see my PCP.
Healthcare visit (other): Office visit
Release 8 — day 35, dose 2
Symptoms: Having a slight headache behind left eye and in left temple. This has happened several times in the last few weeks. I do have a test scheduled for later in the month.
Healthcare visit (other): Office visit
Release 8 — day 42, dose 2
Symptoms: Headaches and pain especially behind left eye. I am having tests run in a few days.
Healthcare visit (other): Doctor office visit
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 | Eye pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release