2CP-32551-04221
5 vaccinations
7 coded responses
53 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 770 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KU5-13964-64544
Adult relative or friend · Male · 2022-04-19
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
- 2021-01-15
- 2021-01-16
- 2021-01-18
-
2021-01-21
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Gland in neck swole upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Hyperhidrosis — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: There is a spot on my right leg that is NOT like a rash but it has a burning sensation for two days. I keep breaking into incredible sweats throughout the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation — Feeling: Good · Headache, Fatigue or tirednessFree text: Still have spot on leg with a burning sensation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-10
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Back pain, Musculoskeletal chest pain — Feeling: GoodFree text: Pain on my back, under my rib cage.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
-
2021-12-07
Survey response — day 42, dose 3MedDRA: Acne, Dandruff, Onychoclasis, Pruritus, Rash — Feeling: GoodFree text: Since my Booster shot I have noticed: 1. My fingernails have ALL broken off and are splitting easily, something they never did. 2. My scalp hair has started having dandruff and itching scalp. 3. My face skin has started breaking out with acne.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-25
-
2022-04-02
Dose 4 — Moderna
- 2022-04-19
- 2022-04-25
- 2022-05-02
- 2022-05-10
- 2022-05-17
- 2022-07-04
- 2022-10-03
-
2022-10-16
Dose 5 — Moderna
-
2022-10-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-20
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fever · Chills, Fatigue or tiredness, DiarrheaAdult check-in
-
2022-10-21
Survey response — days 1–6 daily, dose 5MedDRA: Flatulence, Gastrointestinal sounds abnormal — Feeling: Good · Fever · Headache, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Lots of stomach gas and stomach rumbling.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
- 2022-10-23
- 2022-10-30
- 2022-11-13
- 2022-11-22
- 2022-11-27
-
2023-01-15
Survey response — 3 months, dose 5MedDRA: Office visit, Secretion discharge, Upper respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-01-15
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-01-16
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-10-16 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Gland in neck swole up
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): There is a spot on my right leg that is NOT like a rash but it has a burning sensation for two days. I keep breaking into incredible sweats throughout the day.
Systemic reaction (other): Still have spot on leg with a burning sensation.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain on my back, under my rib cage.
Release 10 — day 42, dose 3
Symptoms: Since my Booster shot I have noticed: 1. My fingernails have ALL broken off and are splitting easily, something they never did. 2. My scalp hair has started having dandruff and itching scalp. 3. My face skin has started breaking out with acne.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Lots of stomach gas and stomach rumbling.
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 | Acne | · | · | ✓ |
| SD | Dandruff | · | · | ✓ |
| SD | Onychoclasis | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Upper respiratory tract congestion | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Gastrointestinal sounds abnormal | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release