2GF-21921-58110
3 vaccinations
4 coded responses
36 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 447 / OH
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-03-07
Registered in v-safe
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Oral herpes, Pre-existing disease — Feeling: FairFree text: Yesterday genital herpes, which has been silent for years..Today perhaps a cold sore starting on my bottom lip. Nothing earth shattering, but just thought Id report it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
-
2021-04-24
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Faeces soft — Feeling: GoodFree text: Stomach bothering me, bowels very soft some days, out of character for me. I go to the bathroom every day. Nothing else has changed in my daily routine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-07-03
- 2021-10-02
-
2021-10-26
Dose 3 — Moderna
- 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
-
2022-01-25
Survey response — 3 months, dose 3MedDRA: Cough, Influenza A virus test positive, Office visit, Pyrexia, SARS-CoV-2 test negative, Unevaluable event, Wheezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Tested positive for type A flu. I am vaccinated for flu. Ill for 2 weeks. Mostly upper respiratory, fever, cough and wheezing.. Negative for Covid. Testing done December 24th.. · Healthcare visit (other): Dr's office, my primary care doctor, she tested me in office for both.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-26
Survey response — 6 months, dose 3MedDRA: Blood pressure increased, Carpal tunnel syndrome, Mass, Weight increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Carpal tunnel, left hand. Elevated blood pressure. Weight gain, mass on right side, ultrasound to check for explanation.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday genital herpes, which has been silent for years..Today perhaps a cold sore starting on my bottom lip. Nothing earth shattering, but just thought Id report it.
Release 7 — day 21, dose 2
Symptoms: Stomach bothering me, bowels very soft some days, out of character for me. I go to the bathroom every day. Nothing else has changed in my daily routine.
Release 11 — 3 months, dose 3
Symptoms: Tested positive for type A flu. I am vaccinated for flu. Ill for 2 weeks. Mostly upper respiratory, fever, cough and wheezing.. Negative for Covid. Testing done December 24th..
Healthcare visit (other): Dr's office, my primary care doctor, she tested me in office for both.
Release 11 — 6 months, dose 3
Symptoms: Carpal tunnel, left hand. Elevated blood pressure. Weight gain, mass on right side, ultrasound to check for explanation.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Carpal tunnel syndrome | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Faeces soft | ✓ | ✓ | ✓ |
| SD | Influenza A virus test positive | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Weight increased | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release