333-14132-07539
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 440 / OH
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-02-18
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-02-25
Survey response — day 14, dose 1MedDRA: Adverse reaction — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a bad migraine on Monday 2/22/2021, then the next day on Tuesday, Wednesday was alot better. And today it is gone. I think it was from the drastic change in the barometric pressure. It certainly was a bad few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
-
2021-03-12
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
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Survey response — day 42, dose 2MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Several migrainesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Survey response — 3 months, dose 2MedDRA: Headache, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Infection in my sinus cavity behind my nose. On 2nd antibiotics and Prednisone. Still no better. Horrible headaches. I lost my vaccine card, how can I get a new one. No one has been able to help me. !!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
- 2021-09-09
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: I had a bad migraine on Monday 2/22/2021, then the next day on Tuesday, Wednesday was alot better. And today it is gone. I think it was from the drastic change in the barometric pressure. It certainly was a bad few days.
Release 7 — day 42, dose 2
Symptoms: Several migraines
Release 9 — 3 months, dose 2
Symptoms: Infection in my sinus cavity behind my nose. On 2nd antibiotics and Prednisone. Still no better. Horrible headaches. I lost my vaccine card, how can I get a new one. No one has been able to help me. !!!!
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release