2YZ-22355-95169
5 vaccinations
10 coded responses
53 check-ins
10 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 799 / TX
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-13
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-14
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: Rash along hand and wristMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — day 21, dose 1MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Frequent bouts of diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Pain in toes like I had hit something with my feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 42, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue Just not as much energy as I usually have hadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — 3 months, dose 2MedDRA: Abdominal distension, Diarrhoea, Nausea, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Abdominal bloating nausea vomiting followed by diarrhea lasting two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-05
-
2021-09-09
Dose 3 — Moderna
- 2021-09-09
- 2021-09-10
-
2021-09-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Chills, HeadacheAdult check-in
-
2021-09-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · Chills, Headache, DiarrheaAdult check-in
- 2021-09-13
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2021-09-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-09-15
- 2021-09-16
- 2021-09-23
- 2021-09-30
-
2021-10-07
Survey response — day 28, dose 3MedDRA: Blood pressure increased, Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: BP has been much higher. GBS symptoms more pronouncedMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
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)
-
2021-10-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-14
- 2021-10-21
-
2021-12-09
Survey response — 3 months, dose 3MedDRA: Condition aggravated, Hypertension, Office visit, Pre-existing disease, Tachycardia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Blood pressure became high I've had to have an adjustment of medication's for the first time in eight years. Also experiencing tachycardia to go with it. And had to start back on IV I G infusions because my Guillain-Barré syndrome flared · Healthcare visit (other): Cardiology office visitMedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Report sent to call center — 3 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-10
-
2022-02-18
Dose 4 — Moderna
- 2022-03-10
-
2022-09-09
Survey response — 12 months, dose 3MedDRA: Epistaxis, Nasal cavity packing — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Epistaxis requiring nasal packing.MedDRA releases: 2024-11 · check-in free text available
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2022-09-09
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-09-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-04
Dose 5 — Moderna
- 2022-11-04
- 2022-11-05
- 2022-11-06
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-18
- 2022-11-25
-
2022-12-02
Survey response — day 28, dose 5MedDRA: Diarrhoea — Feeling: FairFree text: Watery diarrhea todayMedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
- 2022-12-16
- 2023-02-03
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
| 4 | 2022-02-18 | Moderna | No |
| 5 | 2022-11-04 | Moderna | No |
Call center
4 call center cases
3 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 14, dose 1
Symptoms: Rash along hand and wrist
Release 3 — day 21, dose 1
Symptoms: Frequent bouts of diarrhea
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in toes like I had hit something with my feet
Release 5 — day 35, dose 2
Symptoms: Diarrhea
Release 5 — day 42, dose 2
Symptoms: Fatigue Just not as much energy as I usually have had
Release 8 — 3 months, dose 2
Symptoms: Abdominal bloating nausea vomiting followed by diarrhea lasting two days
Release 10 — day 28, dose 3
Symptoms: BP has been much higher. GBS symptoms more pronounced
Release 10 — 3 months, dose 3
Symptoms: Blood pressure became high I've had to have an adjustment of medication's for the first time in eight years. Also experiencing tachycardia to go with it. And had to start back on IV I G infusions because my Guillain-Barré syndrome flared
Healthcare visit (other): Cardiology office visit
Release 12 — 12 months, dose 3
Symptoms: Epistaxis requiring nasal packing.
Release 12 — day 28, dose 5
Symptoms: Watery diarrhea today
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 | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Nasal cavity packing | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release