34E-31879-81402
5 vaccinations
5 coded responses
49 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 334 / FL
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Nausea — Feeling: Fair · Headache, NauseaFree text: I believe the headache is sinus allergy related. Nausea was unusual overnight and pepcid helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-23
-
2021-03-01
Dose 2 — Moderna
-
2021-03-01
Survey response — day 0, dose 2MedDRA: Immediate post-injection reaction, Injection site pain — Feeling: GoodFree text: This injection immediately stung and burned and was painful for about 20 minutes. It may have been the person administering it, but ive never had anything like it. Regardless, it would not stop me from getting vaccinated in the future. It was just very different from past vaccines, including my 1st Moderna one.. .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-05-31
- 2021-08-30
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Fair · Headache, Fatigue or tirednessFree text: My fatigue could stem from fasting for unrelated bloodworkMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-10
- 2021-11-16
-
2021-11-23
Survey response — day 28, dose 3MedDRA: Nasopharyngitis, Physiotherapy, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had a bad cold with a fever part of the time. It started on 11/16/2021 and fever broke 11/22/2021. · Healthcare visit (other): Physical TherapyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-30
-
2021-11-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-07
-
2022-01-25
Survey response — 3 months, dose 3MedDRA: Migraine with aura, Office visit, Pre-existing disease, Road traffic accident, SARS-CoV-2 test negative, Stress — Feeling: Good · Be unable to do your normal daily activitiesFree text: Migraine auras, without severe headaches and slight sinus allergy problems My primary doctor gave me a covid test, just in case, and it was negative. I am under a lot of stress from a car crash, and we believe that's causing the auras.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
-
2022-06-04
Dose 4 — Pfizer-BioNTech
- 2022-06-27
- 2022-07-02
- 2022-07-09
- 2022-07-16
- 2022-09-03
-
2022-09-24
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-13
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-12-24
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-06-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-24 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I believe the headache is sinus allergy related. Nausea was unusual overnight and pepcid helped.
Release 4 — day 0, dose 2
Systemic reaction (other): This injection immediately stung and burned and was painful for about 20 minutes. It may have been the person administering it, but ive never had anything like it. Regardless, it would not stop me from getting vaccinated in the future. It was just very different from past vaccines, including my 1st Moderna one.. .
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My fatigue could stem from fasting for unrelated bloodwork
Release 10 — day 28, dose 3
Symptoms: Had a bad cold with a fever part of the time. It started on 11/16/2021 and fever broke 11/22/2021.
Healthcare visit (other): Physical Therapy
Release 11 — 3 months, dose 3
Symptoms: Migraine auras, without severe headaches and slight sinus allergy problems My primary doctor gave me a covid test, just in case, and it was negative. I am under a lot of stress from a car crash, and we believe that's causing the auras.
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 | Physiotherapy | · | · | ✓ |
| SD | Migraine with aura | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Road traffic accident | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release