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28U-44498-05821

2 vaccinations 3 coded responses 25 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
757 / TX
Registered
2021-04-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-10
    Registered in v-safe
  2. 2021-04-10
    Dose 1 — Moderna
  3. 2021-04-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  6. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-24
    Survey response — day 14, dose 1
    MedDRA: Cough, Headache, Respiratory tract congestion — Feeling: Poor
    Free text: Headache, congestion and cough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-01
    Survey response — day 21, dose 1
    MedDRA: Abdominal distension, Gastroenteritis viral, Muscle spasms — Feeling: Poor
    Free text: I think its probably just a stomach virus. No fever but cramping and bloating.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-05-14
    Dose 2 — Moderna
  15. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  19. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-13
    Survey response — 3 months, dose 2
    MedDRA: Clostridium difficile infection, Cough, Dysarthria, Dyspnoea, Gastric disorder, Nasopharyngitis, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Grandsons had RSV and I got a really bad cold that lasted two weeks and the cough lasted another couple of weeks. Also was having stomach problems and the PA diagnosed me with C-Diff. · Healthcare visit (other): Went to clinic but they sent me to my car to wait for a phone call. Already had an appointment for the stomach but they treated the cold since I was having difficulty breathing and talking.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-08-13
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-11-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-12-09
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-04-10Moderna
22021-05-14Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-24

Symptoms: Headache, congestion and cough.

Release 8 — day 21, dose 1

2021-05-01

Symptoms: I think its probably just a stomach virus. No fever but cramping and bloating.

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: Grandsons had RSV and I got a really bad cold that lasted two weeks and the cough lasted another couple of weeks. Also was having stomach problems and the PA diagnosed me with C-Diff.
Healthcare visit (other): Went to clinic but they sent me to my car to wait for a phone call. Already had an appointment for the stomach but they treated the cold since I was having difficulty breathing and talking.

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

FieldPreferred term2021-092023-042024-11
HCVODysarthria ✓ · ✓
HCVODyspnoea ✓ · ✓
HCVOGastric disorder ✓ · ✓
HCVONasopharyngitis ✓ · ✓
HCVOOffice visit ✓ · ✓
SDAbdominal distension ✓ ✓ ✓
SDClostridium difficile infection ✓ · ✓
SDCough ✓ ✓ ✓
SDGastric disorder ✓ · ✓
SDGastroenteritis viral ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDNasopharyngitis ✓ · ✓
SDOffice visit ✓ · ✓
SDRespiratory tract congestion ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release