396-61158-79062
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Myalgia, Pre-existing disease — Feeling: Fair · Muscle or body achesFree text: Muscle and body aches in my back. Probably due to a bad back that I deal with periodically.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Have scheduled a visit on Wednesday to discuss back pain with doctor I have seen before. Not a new problem.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-18
Dose 2 — Moderna
- 2021-02-19
- 2021-02-20
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-24
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2021-02-25
Survey response — day 7, dose 2MedDRA: Nausea — Feeling: Good · NauseaFree text: I was very nauseated last night, but today am fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Cold sweat, Nausea, Tremor — Feeling: Fair · Be unable to do your normal daily activitiesFree text: One episode of the shakes, nausea, stomach pains, cold sweats. Lasted about 30 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
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2021-03-25
Survey response — day 35, dose 2MedDRA: Abdominal pain upper, Decreased appetite, Dehydration, Emergency care, Feeding disorder, Fluid intake reduced, Fluid replacement — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Stomach pains. Unable to eat or drink. Resulting in dehydration. Currently in the ER Getting fluids and pain medMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-01
-
2021-04-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-05-20
- 2021-08-19
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-06
-
2021-11-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle and body aches in my back. Probably due to a bad back that I deal with periodically.
Healthcare visit (other): Have scheduled a visit on Wednesday to discuss back pain with doctor I have seen before. Not a new problem.
Release 4 — day 7, dose 2
Systemic reaction (other): I was very nauseated last night, but today am fine.
Release 5 — day 14, dose 2
Symptoms: One episode of the shakes, nausea, stomach pains, cold sweats. Lasted about 30 minutes.
Release 6 — day 35, dose 2
Symptoms: Stomach pains. Unable to eat or drink. Resulting in dehydration. Currently in the ER Getting fluids and pain med
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Cold sweat | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ○ | ✓ | ○ |
| SD | Dehydration | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Feeding disorder | ✓ | · | ✓ |
| SD | Fluid intake reduced | ✓ | ✓ | ✓ |
| SD | Fluid replacement | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release