38N-17489-97748
3 vaccinations
3 coded responses
33 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 542 / WI
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
-
2021-01-19
Survey response — day 14, dose 1MedDRA: Headache, Self-medication — Feeling: GoodFree text: Headache upon waking up Thursday Jan 14th. Strong headache, almost called in to work. Tylenol took it completely away and it never came back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, Abdominal painAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-03
-
2021-12-29
Dose 3 — Moderna
- 2022-01-10
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-02-02
- 2022-02-09
-
2022-03-30
Survey response — 3 months, dose 3MedDRA: Cough, Influenza, Nasopharyngitis, Pharyngeal disorder, SARS-CoV-2 test negative — 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 · Outpatient clinic or urgent care clinic visitFree text: I caught a wicked month long cold/Fu. Started with nasopharyngeal clog, a week later it was a very hard persistent cough. It's been a month fighting this. I tested for covid twice during this, they were both negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-06-29
-
2022-12-29
Survey response — 12 months, dose 3MedDRA: Influenza, Malaise, Respiratory syncytial virus infection, SARS-CoV-2 test negative — Feeling: Fair · 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 consultationFree text: Sick with respiratory flu or rsv. Not sure which but I tested negative for Covid twiceMedDRA releases: 2024-11 · check-in free text available
-
2022-12-29
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-12-29 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Headache upon waking up Thursday Jan 14th. Strong headache, almost called in to work. Tylenol took it completely away and it never came back.
Release 11 — 3 months, dose 3
Symptoms: I caught a wicked month long cold/Fu. Started with nasopharyngeal clog, a week later it was a very hard persistent cough. It's been a month fighting this. I tested for covid twice during this, they were both negative.
Release 12 — 12 months, dose 3
Symptoms: Sick with respiratory flu or rsv. Not sure which but I tested negative for Covid twice
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 | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pharyngeal disorder | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release