2Z4-18564-79766
2 vaccinations
2 coded responses
11 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 714 / LA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 2 — Moderna
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling hot, Headache, Injection site pain, Injection site swelling, Injection site warmth, Nausea, Pain in extremity, Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, NauseaFree text: Not sure if I ran fever last night, woke up at 2:00 AM with mild headache, took Motrin and went back to sleep, main problem today was my arm sore and swollen at site, hot to touch, big know around site. This afternoon Im beginning to feel very tired, slight headache and slight nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Cough, Ear discomfort, Ear infection, Headache, Respiratory tract congestion, SARS-CoV-2 test positive, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe sinus infection and ear infection a few months ago. And now tested positive today for Covid with another sinus and ear infection. Congestion, dry cough, full ears, slight headacheMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Not sure if I ran fever last night, woke up at 2:00 AM with mild headache, took Motrin and went back to sleep, main problem today was my arm sore and swollen at site, hot to touch, big know around site. This afternoon Im beginning to feel very tired, slight headache and slight nausea.
Release 9 — 6 months, dose 2
Symptoms: Severe sinus infection and ear infection a few months ago. And now tested positive today for Covid with another sinus and ear infection. Congestion, dry cough, full ears, slight headache
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 | Cough | ✓ | · | ✓ |
| SD | Ear discomfort | ✓ | · | ✓ |
| SD | Ear infection | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | · | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | · | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ○ |
| SRO | Pyrexia | ✓ | ✓ | ○ |
| SRO | Self-medication | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release