38A-47675-59563
4 vaccinations
8 coded responses
29 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 950 / CA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
- 2021-01-26
- 2021-01-27
- 2021-01-29
- 2021-01-30
- 2021-02-01
- 2021-02-07
- 2021-02-14
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2021-02-21
Survey response — day 28, dose 1MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus Tarsitis foot surgery day before yesterday. Glad to hear postponement of todays COVID #2 shot. A week or two of surgery recovery will help before standing in a long line in a cold basement, 2 hours drive from home, to get COVID shot #2. · Healthcare visit (other): Arthroscopic surgeryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-26
Dose 2 — Moderna
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-03
- 2021-03-04
- 2021-03-07
- 2021-03-12
- 2021-03-20
- 2021-03-28
- 2021-04-02
- 2021-04-09
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Animal bite, Decreased appetite, Diarrhoea, Ear pain, Headache, Oropharyngeal pain, SARS-CoV-2 test negative, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bad dog bite followed by 2 courses of amoxicillin. Diarrhea, sore throat, headaches, earache, upset stomach, loss of appetite, followed the double dose of amoxicillin so dr is checking me for C-Diff. Rapid Covid test this past week was negative. · Healthcare visit (other): Dr visit but dr chose to FaceTime me from down the hall. She ordered all the lab tests.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Animal bite, Clostridium difficile infection, Wound — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: I have C-Diff bacterial infection, from having too much antibiotics, for too long, after a very bad dog bite, 3 open wounds, too deep to stitch. Bite was May 3, 2021.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
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)
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2021-09-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-04
Dose 3 — Moderna
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2022-02-26
Survey response — 12 months, dose 2MedDRA: Fall, Head injury, Joint injury, Limb injury, Neck injury, Self-medication — Feeling: GoodFree text: Not Covid-related. Fell into rocks, coming around back of car to get dog. Hurt neck, head, both hands, both knees, and left hip. No E.R. Lots of Tylenol. Totally nothing related to Covid.MedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Dose 4 — Moderna
- 2022-05-09
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2022-05-12
Survey response — day 21, dose 4MedDRA: Headache, Pruritus — Feeling: GoodFree text: Headache and itchy arm for 3 days after booster #2. All ok now.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
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2022-05-28
Survey response — day 35, dose 4MedDRA: Headache, Rhinorrhoea — Feeling: GoodFree text: I've had a small, persistent, headache from above my right temple down to my right ear since my booster #2. Also a runny nose, mostly on the right side, since my booster #2. I only mention it because of the persistence of these 2 symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
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2022-07-21
Survey response — 3 months, dose 4MedDRA: Arthralgia, Muscle spasms — Feeling: FairFree text: Muscle cramps in both calves and both hands and arthritic style pain in arms, hands, legs, and feet.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 4 — day 28, dose 1
Symptoms: Sinus Tarsitis foot surgery day before yesterday. Glad to hear postponement of todays COVID #2 shot. A week or two of surgery recovery will help before standing in a long line in a cold basement, 2 hours drive from home, to get COVID shot #2.
Healthcare visit (other): Arthroscopic surgery
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Runny nose
Release 8 — 3 months, dose 2
Symptoms: Bad dog bite followed by 2 courses of amoxicillin. Diarrhea, sore throat, headaches, earache, upset stomach, loss of appetite, followed the double dose of amoxicillin so dr is checking me for C-Diff. Rapid Covid test this past week was negative.
Healthcare visit (other): Dr visit but dr chose to FaceTime me from down the hall. She ordered all the lab tests.
Release 9 — 6 months, dose 2
Symptoms: I have C-Diff bacterial infection, from having too much antibiotics, for too long, after a very bad dog bite, 3 open wounds, too deep to stitch. Bite was May 3, 2021.
Release 11 — 12 months, dose 2
Symptoms: Not Covid-related. Fell into rocks, coming around back of car to get dog. Hurt neck, head, both hands, both knees, and left hip. No E.R. Lots of Tylenol. Totally nothing related to Covid.
Release 11 — day 21, dose 4
Symptoms: Headache and itchy arm for 3 days after booster #2. All ok now.
Release 11 — day 35, dose 4
Symptoms: I've had a small, persistent, headache from above my right temple down to my right ear since my booster #2. Also a runny nose, mostly on the right side, since my booster #2. I only mention it because of the persistence of these 2 symptoms.
Release 12 — 3 months, dose 4
Symptoms: Muscle cramps in both calves and both hands and arthritic style pain in arms, hands, legs, and feet.
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 | Telemedicine | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Animal bite | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Clostridium difficile infection | ✓ | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Head injury | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint injury | · | · | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Neck injury | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Wound | ✓ | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release