2RQ-56971-93798
4 vaccinations
5 coded responses
49 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 409 / KY
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
- 2021-01-13
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-19
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-10-26
Dose 3 — Moderna
-
2021-10-26
Survey response — day 0, dose 3MedDRA: Pre-existing disease — Feeling: Good · Site: PainFree text: Chronic seborrheic dermatitisMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-10-31
- 2021-11-01
-
2021-11-02
Survey response — day 7, dose 3MedDRA: Dyspnoea exertional — Feeling: GoodFree text: Shortness of breath with exertion.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
-
2021-11-23
Survey response — day 28, dose 3MedDRA: Fatigue, Nasal congestion, Rhinorrhoea — Feeling: FairFree text: Very runny, stuffy nose and feeling tired. Started this morning after getting out of bed.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-07
- 2022-01-27
-
2022-04-28
Survey response — 6 months, dose 3MedDRA: Biopsy breast, Breast conserving surgery, Breast mass, Office visit, Surgery — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Breast; requiring core needle biopsy, followed by surgical mass removal/lumpectomy. Benign. · Healthcare visit (other): Out-patient surgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-02
Call successfulNot applicable - Accidental Reporting
-
2022-05-04
Dose 4 — Moderna
-
2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-05-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-18
- 2022-05-25
-
2022-06-01
Survey response — day 28, dose 4MedDRA: Arthralgia, Gait disturbance, Musculoskeletal stiffness — Feeling: GoodFree text: Painful shoulders, wrists, hips, knees that are worse during the night. Stiffness in walking throughout the day. O/A ruled out except in right knee.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-08
- 2022-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Chronic seborrheic dermatitis
Release 10 — day 7, dose 3
Systemic reaction (other): Shortness of breath with exertion.
Release 10 — day 28, dose 3
Symptoms: Very runny, stuffy nose and feeling tired. Started this morning after getting out of bed.
Release 11 — 6 months, dose 3
Symptoms: Breast; requiring core needle biopsy, followed by surgical mass removal/lumpectomy. Benign.
Healthcare visit (other): Out-patient surgery
Release 11 — day 28, dose 4
Symptoms: Painful shoulders, wrists, hips, knees that are worse during the night. Stiffness in walking throughout the day. O/A ruled out except in right knee.
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 | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Biopsy breast | · | · | ✓ |
| SD | Breast conserving surgery | · | · | ✓ |
| SD | Breast mass | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Dyspnoea exertional | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release