2PK-33022-13577
4 vaccinations
5 coded responses
45 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 708 / LA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-17
Registered in v-safe
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-06
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
-
2021-10-25
Dose 3 — Moderna
-
2021-10-25
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fever · Joint painsAdult check-in
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
-
2021-11-15
Survey response — day 21, dose 3MedDRA: Ear pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ear ache,under doctors care for it. · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-17
-
2021-11-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-22
- 2021-11-29
-
2021-12-06
Survey response — day 42, dose 3MedDRA: Fatigue, Throat irritation — Feeling: PoorFree text: Scratchy throat, fatique,no feverMedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Lymph node calcification, Middle ear effusion, Office visit, Oropharyngeal pain, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Calcification of the lymph nodes. Pulmonologist appoinment for verification and treatment. Sinus infection,fluid on the ears,sore throat,negative covid home test.medication relieved the symptoms. · Healthcare visit (other): MRI,consulation about lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-27
- 2022-02-04
-
2022-04-01
Dose 4 — Moderna
-
2022-04-19
Survey response — day 14, dose 4MedDRA: Ear pain, Nerve injury, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ear ache is right ear that has an inner ear nerve damage,I have been diagnosed 6 years ago with Meniers, · Healthcare visit (other): In office doctor visitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-22
- 2022-04-22
-
2022-04-22
Call successfulNot applicable - Accidental Reporting
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-30
Survey response — 6 months, dose 4MedDRA: Arthralgia, Chills, Fatigue, Headache, Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had new Maderna vaccine,had severe chills for 2 hours,low grade fever,sore joints,sore muscles, headache, fatigue, this lasted for 24 hrs, next 2 days I was fatigued with sore muscles only.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 10 — day 21, dose 3
Release 10 — day 42, dose 3
Symptoms: Scratchy throat, fatique,no fever
Release 11 — 3 months, dose 3
Symptoms: Calcification of the lymph nodes. Pulmonologist appoinment for verification and treatment. Sinus infection,fluid on the ears,sore throat,negative covid home test.medication relieved the symptoms.
Healthcare visit (other): MRI,consulation about lymph nodes
Release 11 — day 14, dose 4
Symptoms: Ear ache is right ear that has an inner ear nerve damage,I have been diagnosed 6 years ago with Meniers,
Healthcare visit (other): In office doctor visit
Release 12 — 6 months, dose 4
Symptoms: Had new Maderna vaccine,had severe chills for 2 hours,low grade fever,sore joints,sore muscles, headache, fatigue, this lasted for 24 hrs, next 2 days I was fatigued with sore muscles only.
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 | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lymph node calcification | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nerve injury | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release