2MP-50452-69822
4 vaccinations
5 coded responses
31 check-ins
4 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 970 / OR
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-07
Survey response — day 42, dose 2MedDRA: Office visit, Physical examination, White blood cell count increased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had a yearly physical. Blood test showed increased white blood cells. She suggested it might be in response to covid vaccine. She is monitoring. · Healthcare visit (other): Routine blood work at my physical .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-25
Survey response — 3 months, dose 2MedDRA: Office visit, Pre-existing disease, White blood cell count increased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosed with CLL following routine blood test showing elevated WBC. Have others reported this condition or diagnosis after receiving the vaccine? · Healthcare visit (other): Office visit-~ PCP & hematologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
-
2021-08-30
Dose 3 — Moderna
- 2021-11-29
-
2022-02-09
Call successfulDoes not wish to fill out VAERS report
-
2022-02-09
Call successfulDoes not wish to fill out VAERS report
-
2022-02-28
Survey response — 6 months, dose 3MedDRA: Nausea, Rotavirus infection — 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: Roto virus passed through 7 family members Recovered now. · Healthcare visit (other): Anti nausea prescriptionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-28
Report sent to call center — 6 months, dose 3Be 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)
-
2022-03-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-02
Dose 4 — Moderna
- 2022-04-14
-
2022-06-01
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cold. Negative for Covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-01
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-06-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-02
-
2023-03-04
Survey response — 12 months, dose 4MedDRA: Alopecia, Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-04
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-08-30 | Moderna | No |
| 4 | 2022-03-02 | Moderna | No |
Call center
5 call center cases
4 successful · 1 unsuccessful
Free text
Release 7 — day 42, dose 2
Symptoms: Had a yearly physical. Blood test showed increased white blood cells. She suggested it might be in response to covid vaccine. She is monitoring.
Healthcare visit (other): Routine blood work at my physical .
Release 8 — 3 months, dose 2
Symptoms: Diagnosed with CLL following routine blood test showing elevated WBC. Have others reported this condition or diagnosis after receiving the vaccine?
Healthcare visit (other): Office visit-~ PCP & hematologist
Release 11 — 6 months, dose 3
Symptoms: Roto virus passed through 7 family members Recovered now.
Healthcare visit (other): Anti nausea prescription
Release 11 — 3 months, dose 4
Symptoms: Cold. Negative for Covid.
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 | Nausea | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Physical examination | ○ | ✓ | ○ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rotavirus infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | White blood cell count increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release