29J-24841-80659
5 vaccinations
5 coded responses
65 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 488 / MI
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-23
Registered in v-safe
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
-
2021-01-29
Survey response — day 7, dose 1MedDRA: Migraine — Feeling: Good · HeadacheFree text: Awoke at 2:30 am with a migraine, but I have history of migraines, took 1 excedrin and 1/2 a Dramamine and it resolved after also putting heat on my neck and ice wrap on my headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-12
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Survey response — day 42, dose 2MedDRA: Gastrointestinal disorder, Self-medication — Feeling: GoodFree text: I think I have intertrigo on my lower abdomen, I am trying Lamisil and 1% cortisone cream . If it gets worse, or doesnt resolve, I will see a Dr about it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
-
2021-08-20
Survey response — 6 months, dose 2MedDRA: Back pain, Osteopathic treatment, Physiotherapy, Radiculopathy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Low back pain with radiculopathy right leg and right foot · Healthcare visit (other): MRI, PT and OMMMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-20
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
-
2021-08-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-20
Dose 3 — Moderna
- 2021-09-20
-
2021-09-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-09-22
- 2021-09-23
- 2021-09-24
- 2021-09-25
- 2021-09-26
- 2021-09-27
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-12-20
- 2022-03-21
-
2022-04-16
Dose 4 — Moderna
- 2022-04-16
-
2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: Tingling in left hand into 4th and 5th fingersMedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-20
- 2022-04-21
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-07-16
-
2022-09-14
Dose 5 — Moderna
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-28
- 2022-10-06
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
-
2023-03-15
Survey response — 6 months, dose 5MedDRA: Cough, SARS-CoV-2 test negative, Sinusitis, Upper-airway cough syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-15
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-03-16
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 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-09-20 | Moderna | No |
| 4 | 2022-04-16 | Moderna | No |
| 5 | 2022-09-14 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Awoke at 2:30 am with a migraine, but I have history of migraines, took 1 excedrin and 1/2 a Dramamine and it resolved after also putting heat on my neck and ice wrap on my head
Release 6 — day 42, dose 2
Symptoms: I think I have intertrigo on my lower abdomen, I am trying Lamisil and 1% cortisone cream . If it gets worse, or doesnt resolve, I will see a Dr about it.
Release 9 — 6 months, dose 2
Symptoms: Low back pain with radiculopathy right leg and right foot
Healthcare visit (other): MRI, PT and OMM
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Tingling in left hand into 4th and 5th fingers
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 | Osteopathic treatment | ✓ | · | ✓ |
| HCVO | Physiotherapy | ✓ | · | ✓ |
| SD | Back pain | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Radiculopathy | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release