2MP-11371-36936
4 vaccinations
4 coded responses
51 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-23
Registered in v-safe
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-19
Dose 2 — Moderna
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus, Injection site swelling, Muscle spasms, Somnolence — Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tiny itch at shot site, tiny swollen at site, left inner thigh cramps, slept all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication, Somnolence, Swelling, Toothache — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sleeping a lot. My left side teeth swelling, hurt, using a Servere Toothache & Gum pain reliever gel for 2 days now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — day 7, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
-
2021-08-22
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Diverticulitis, Malaise, Office visit — Feeling: Good · 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: Was sick, bad diarrhea, turned out to be Dyverticulis, taken off Metformin. · Healthcare visit (other): And then follow up with primary doctor, Dr (b)(6)MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-22
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-25
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Just muscle ache up the left side of my neck and upper shoulder like I slept wrong.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-02
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-16
- 2022-01-24
-
2022-04-21
Dose 4 — Moderna
- 2022-04-21
- 2022-04-22
- 2022-04-23
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-28
Health check-in — day 7, dose 4Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-28
- 2022-06-02
- 2022-07-21
- 2022-10-20
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tiny itch at shot site, tiny swollen at site, left inner thigh cramps, slept all day
Systemic reaction (other): Sleeping a lot. My left side teeth swelling, hurt, using a Servere Toothache & Gum pain reliever gel for 2 days now.
Release 9 — 6 months, dose 2
Symptoms: Was sick, bad diarrhea, turned out to be Dyverticulis, taken off Metformin.
Healthcare visit (other): And then follow up with primary doctor, Dr (b)(6)
redacted (b)(6)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just muscle ache up the left side of my neck and upper shoulder like I slept wrong.
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 | Diarrhoea | ✓ | · | ✓ |
| SD | Diverticulitis | ✓ | · | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release