2TP-21225-27489
4 vaccinations
5 coded responses
36 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 222 / VA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
-
2021-09-15
Survey response — 6 months, dose 2MedDRA: Abdominal abscess, Abscess drainage, Interventional procedure, Intestinal perforation, Septic shock, Small intestinal obstruction — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: unrelated to covid. i had SBO, bowel perforation, gram negative septic shock and intraabdominal abscesses. i had 2 surgeries, 2 interventional procedures to drain abscesses and 8 wks IV antibiotics. Have recovered fully.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-15
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)
- 2021-09-17
-
2021-10-22
Dose 3 — ModernaCo-administered: Flu
- 2021-10-28
-
2021-10-29
Survey response — day 7, dose 3MedDRA: Chills, Fatigue — Feeling: GoodFree text: these questions are coming a week after my booster. on the morning after my booster i felt fatigued and chilled.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
-
2021-11-19
Survey response — day 28, dose 3MedDRA: Dysuria, Pollakiuria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: dysuria and urinary frequencyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-24
-
2021-11-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-11
Dose 4 — Moderna
-
2022-04-18
Survey response — day 7, dose 4MedDRA: Chills, Malaise, Pain in extremity — Feeling: GoodFree text: I got my shot a week ago and feel fine today. on day of the booster I felt slightly unwell and chilly and had a sore arm. i was better the following day and the sore arm was gone the day after thatMedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
-
2022-05-23
Survey response — day 42, dose 4MedDRA: Cough, Mechanical urticaria, Pruritus, Skin lesion, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: started with pruritis around 2 wks ago. now dermatographia, wheal and flare lesions, urticaria and possibly one episode of exercise-induced asthma (bout of coughing with exercise that immediately resolved on stopping exercise.)MedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-24
- 2022-07-11
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-22 | Moderna | Flu |
| 4 | 2022-04-11 | Moderna | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 9 — 6 months, dose 2
Symptoms: unrelated to covid. i had SBO, bowel perforation, gram negative septic shock and intraabdominal abscesses. i had 2 surgeries, 2 interventional procedures to drain abscesses and 8 wks IV antibiotics. Have recovered fully.
Release 10 — day 7, dose 3
Systemic reaction (other): these questions are coming a week after my booster. on the morning after my booster i felt fatigued and chilled.
Release 10 — day 28, dose 3
Symptoms: dysuria and urinary frequency
Release 11 — day 7, dose 4
Systemic reaction (other): I got my shot a week ago and feel fine today. on day of the booster I felt slightly unwell and chilly and had a sore arm. i was better the following day and the sore arm was gone the day after that
Release 11 — day 42, dose 4
Symptoms: started with pruritis around 2 wks ago. now dermatographia, wheal and flare lesions, urticaria and possibly one episode of exercise-induced asthma (bout of coughing with exercise that immediately resolved on stopping exercise.)
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 |
|---|---|---|---|---|
| SD | Abdominal abscess | · | · | ✓ |
| SD | Abscess drainage | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dysuria | · | · | ✓ |
| SD | Interventional procedure | · | · | ✓ |
| SD | Intestinal perforation | · | · | ✓ |
| SD | Mechanical urticaria | · | · | ✓ |
| SD | Pollakiuria | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Septic shock | · | · | ✓ |
| SD | Skin lesion | · | · | ✓ |
| SD | Small intestinal obstruction | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release