2A2-29938-28952
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 530 / WI
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Myalgia — Feeling: Good · Muscle or body achesFree text: Just achy muscle where the shot was administeredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Head discomfort, Headache, Somnolence — Feeling: Good · Headache, Fatigue or tirednessFree text: Slept for about an hour this afternoon. Woke up and the full headache was better as was the fullness I felt in my head. I think this had been building the past few days. Hoping I continue to feel normal moving forward! Nothing major at all.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Feeling abnormal — Feeling: Fair · Headache, Fatigue or tirednessFree text: I again slept for about 2 hours. Feeling a bit better, but just not quite myself. My energy level is not up to what is normal for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-02-17
Survey response — day 7, dose 1MedDRA: Sinus disorder — Feeling: Fair · HeadacheFree text: I am scheduled for a COVID test tomorrow. My sinuses are bothering me and they want to rule out COVID before I can be seen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — day 14, dose 1MedDRA: Office visit, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a negative COVID test result on Saturday, but saw a doctor on Monday to determine I had a sinus infection. So, even though I was feeling much worse, it was not due to COVID 19.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
-
2021-09-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Just achy muscle where the shot was administered
Systemic reaction (other): Slept for about an hour this afternoon. Woke up and the full headache was better as was the fullness I felt in my head. I think this had been building the past few days. Hoping I continue to feel normal moving forward! Nothing major at all.
Systemic reaction (other): I again slept for about 2 hours. Feeling a bit better, but just not quite myself. My energy level is not up to what is normal for me.
Release 4 — day 7, dose 1
Systemic reaction (other): I am scheduled for a COVID test tomorrow. My sinuses are bothering me and they want to rule out COVID before I can be seen.
Release 4 — day 14, dose 1
Symptoms: I had a negative COVID test result on Saturday, but saw a doctor on Monday to determine I had a sinus infection. So, even though I was feeling much worse, it was not due to COVID 19.
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 |
|---|---|---|---|---|
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release