2GF-15462-98696
4 vaccinations
7 coded responses
26 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-25
-
2021-03-30
Dose 2 — Moderna
-
2021-04-06
Survey response — day 7, dose 2MedDRA: Cough, Dyspnoea, Eye infection, Pre-existing disease, Unevaluable event, Upper respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have the beginning of an eye infection. I was treated fror acute dacrocystitis of the lower eye lid last fall, August through November. This feels like the same thing. I really dont believe it is related to the vaccination. My head is congested, I have a cough and have been winded easily, walking outside up my small hill. They feel like allergy symptoms. · Healthcare visit (other): I actually am on a wait list to be seen. I have an appt on Friday, but hoping to get in sooner.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — day 7, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
-
2021-04-20
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Headache, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Headache, vomiting, stomach discomfort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — day 28, dose 2MedDRA: Diarrhoea, Headache, Nausea, Office visit, SARS-CoV-2 test negative, Vomiting — Feeling: Poor · Be unable to work, 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: Nausea, vomiting, loose stools, and headache for about ten days now. · Healthcare visit (other): Irgent care for a ralid covid test today, which was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-04
Survey response — day 35, dose 2MedDRA: Gastrointestinal disorder, Sinus congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Gastrointestinal and sinus congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-06-29
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2021-09-28
Survey response — 6 months, dose 2MedDRA: Bronchitis, Headache, Sinusitis — Feeling: Good · Be unable to work or attend school, 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: Sinus infection, bronchitis, head acheMedDRA releases: 2024-11 · check-in free text available
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2021-09-28
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-30
-
2021-09-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-22
Dose 3 — Moderna
- 2022-04-01
-
2022-05-04
Dose 4 — Moderna
- 2022-05-22
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-08-03
-
2022-11-04
Survey response — 6 months, dose 4MedDRA: Body temperature increased, Cough, Respiratory tract congestion, Sinus congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: About eight days after my covid booster and flu vaccination I experienced a fever of about 99.4, coughing, chest congestion and sinus congestion. It is bow day ten and I still have a cough with congestion but am feeling better.MedDRA releases: 2024-11 · check-in free text available
-
2023-05-04
Survey response — 12 months, dose 4MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): I have the beginning of an eye infection. I was treated fror acute dacrocystitis of the lower eye lid last fall, August through November. This feels like the same thing. I really dont believe it is related to the vaccination. My head is congested, I have a cough and have been winded easily, walking outside up my small hill. They feel like allergy symptoms.
Healthcare visit (other): I actually am on a wait list to be seen. I have an appt on Friday, but hoping to get in sooner.
Release 7 — day 21, dose 2
Symptoms: Headache, vomiting, stomach discomfort.
Release 8 — day 28, dose 2
Symptoms: Nausea, vomiting, loose stools, and headache for about ten days now.
Healthcare visit (other): Irgent care for a ralid covid test today, which was negative.
Release 8 — day 35, dose 2
Symptoms: Gastrointestinal and sinus congestion.
Release 9 — 6 months, dose 2
Symptoms: Sinus infection, bronchitis, head ache
Release 12 — 6 months, dose 4
Symptoms: About eight days after my covid booster and flu vaccination I experienced a fever of about 99.4, coughing, chest congestion and sinus congestion. It is bow day ten and I still have a cough with congestion but am feeling better.
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 | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Eye infection | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Upper respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release