2T3-32216-36314
4 vaccinations
11 coded responses
45 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 430 / OH
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-23
Registered in v-safe
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2020-12-23
Dose 1 — Moderna
- 2020-12-23
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2020-12-24
Survey response — days 1–6 daily, dose 1MedDRA: Vertigo — Feeling: Fair · Site: Pain · HeadacheFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-25
- 2020-12-26
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2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · DiarrheaFree text: Probably from too much rich Christmas food!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
- 2021-01-13
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2021-01-19
Dose 2 — Moderna
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2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Self-medication — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: 24 hr after 2nd vaccine headache and tired. Took pepsid and ibuprofen and 3 hr nap. Felt great after nap. Thank youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
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2021-02-16
Survey response — day 28, dose 2MedDRA: Fatigue, Pain — Feeling: FairFree text: Achy. Tired. Maybe a cold?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — day 35, dose 2MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-04-20
- 2021-07-21
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Hordeolum, Office visit — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 9/13/21 got a stye. Still gave after 2 rds of Rx etc. optometrist said they've seen a lot. Maybe sequeala to vacinne? Still hasn't resolvedMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
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2022-01-26
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: ColdMedDRA releases: 2024-11 · check-in free text available
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2022-04-12
Dose 4 — Moderna
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2022-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Diverticulum, Office visit — Feeling: Fair · Site: Pain · Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Monderate but probably diverticulosis which I've been dealing with for 2 weeks. · Healthcare visit (other): GastroenterologistMedDRA releases: 2024-11 · check-in free text available
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2022-04-17
Report sent to call center — days 1–6 daily, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Emergency care, Gastrointestinal disorder — Feeling: Poor · Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Gastroentrology problem. At ER nowMedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Report sent to call center — days 1–6 daily, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-04-19
Survey response — day 7, dose 4MedDRA: Diverticulitis, Office visit — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Diverticulitis being treated finally! · Healthcare visit (other): Internist in officeMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Report sent to call center — day 7, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-28
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2022-05-03
Survey response — day 21, dose 4MedDRA: Diverticulitis, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Diverticulitis returned. Eliminating problem. Not related to vacinne. Started in February before last booster.MedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-04
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-07-12
- 2022-10-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-19 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Vertigo
Systemic reaction (other): Probably from too much rich Christmas food!
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): 24 hr after 2nd vaccine headache and tired. Took pepsid and ibuprofen and 3 hr nap. Felt great after nap. Thank you
Release 4 — day 28, dose 2
Symptoms: Achy. Tired. Maybe a cold?
Release 4 — day 35, dose 2
Symptoms: Headache
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 9/13/21 got a stye. Still gave after 2 rds of Rx etc. optometrist said they've seen a lot. Maybe sequeala to vacinne? Still hasn't resolved
Release 11 — 3 months, dose 3
Symptoms: Cold
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Monderate but probably diverticulosis which I've been dealing with for 2 weeks.
Healthcare visit (other): Gastroenterologist
Systemic reaction (other): Gastroentrology problem. At ER now
Release 11 — day 7, dose 4
Systemic reaction (other): Diverticulitis being treated finally!
Healthcare visit (other): Internist in office
Release 11 — day 21, dose 4
Symptoms: Diverticulitis returned. Eliminating problem. Not related to vacinne. Started in February before last booster.
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 | Diverticulitis | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Diverticulitis | · | · | ✓ |
| SRO | Diverticulum | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal disorder | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hordeolum | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release