2H4-30870-70090
4 vaccinations
6 coded responses
34 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 214 / MD
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Nausea, DiarrheaAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
-
2021-04-15
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Flushing, Headache — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Face is flushed. Not a rash. Headache behind eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
-
2021-10-14
Survey response — 6 months, dose 2MedDRA: Fatigue, Office visit, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Not related to covid. Female issues causing me to be tired. And off. I will be having surgery to deal with that · Healthcare visit (other): Multiple doctors specialists and testsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-21
-
2021-11-30
Dose 3 — Moderna
-
2022-04-15
Survey response — 12 months, dose 2MedDRA: Cough, Disturbance in attention, Fatigue, Headache, Lacrimation increased, Lip dry, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing, Tinnitus — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive fir Covid 2 days ago. Like a bad head cold and allergies together. Sneezing. Coughing. Watery eyes. Sore throat. Runny nose. Bad headache. Tired. Dry lips. Hard to concentrate or focus. Ringing in ears.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-23
Dose 4 — Moderna
-
2022-09-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2022-09-30
Health check-in — day 7, dose 4Feeling: Good · Headache, Muscle or body aches, NauseaAdult check-in
- 2022-10-07
-
2022-10-14
Survey response — day 21, dose 4MedDRA: Blood pressure increased, Emergency care, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: My blood pressure began to increase following my shot and landed me in the hospital on Monday. Still working with dr to try to control it. Along with headache. · Healthcare visit (other): Follow up with pcp. And continued portal follow upsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-10-17
- 2022-10-17
-
2022-10-21
Survey response — day 28, dose 4MedDRA: Heart rate increased, Hypertension, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Still fighting high blood pressure and heart rate that started after booster · Healthcare visit (other): Described last week. Continued dr care this weekMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-24
- 2022-10-24
- 2022-10-24
-
2022-10-28
Survey response — day 35, dose 4MedDRA: Blood pressure abnormal, Heart rate abnormal, Medical counselling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Bp and heart rate has still not returned to a normal level even eth additional meds · Healthcare visit (other): Daily report to dr. Waiting on specialist appt.MedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-31
- 2022-10-31
- 2022-10-31
- 2022-10-31
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
4 call center cases
4 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Face is flushed. Not a rash. Headache behind eyes
Release 10 — 6 months, dose 2
Symptoms: Not related to covid. Female issues causing me to be tired. And off. I will be having surgery to deal with that
Healthcare visit (other): Multiple doctors specialists and tests
Release 11 — 12 months, dose 2
Symptoms: Tested positive fir Covid 2 days ago. Like a bad head cold and allergies together. Sneezing. Coughing. Watery eyes. Sore throat. Runny nose. Bad headache. Tired. Dry lips. Hard to concentrate or focus. Ringing in ears.
Release 12 — day 21, dose 4
Symptoms: My blood pressure began to increase following my shot and landed me in the hospital on Monday. Still working with dr to try to control it. Along with headache.
Healthcare visit (other): Follow up with pcp. And continued portal follow ups
Release 12 — day 28, dose 4
Symptoms: Still fighting high blood pressure and heart rate that started after booster
Healthcare visit (other): Described last week. Continued dr care this week
Release 12 — day 35, dose 4
Symptoms: Bp and heart rate has still not returned to a normal level even eth additional meds
Healthcare visit (other): Daily report to dr. Waiting on specialist appt.
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Blood pressure abnormal | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate abnormal | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Lip dry | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release