3D3-32507-74961
5 vaccinations
8 coded responses
61 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 731 / OK
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
-
2021-01-07
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Redness · Nausea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Disturbance in attention — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessFree text: I have had trouble focusing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-14
- 2021-01-22
-
2021-01-28
Survey response — day 21, dose 1MedDRA: Diarrhoea, Nausea, Self-medication — Feeling: FairFree text: Nauseated and diarrhea (1-26-21). 1 Imodium AD helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: Good · NauseaFree text: Blood sugar has been a little high.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
-
2021-02-18
Survey response — day 14, dose 2MedDRA: Blood test abnormal, Renal impairment — Feeling: FairFree text: I did blood work and learned my kidney function continues to decline.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 35, dose 2MedDRA: Diabetes mellitus, Pre-existing disease — Feeling: FairFree text: I am diabetic and have been having trouble with high blood sugars, but really do NOT think it is vaccine-related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-10-29
Dose 3 — Moderna
-
2021-10-29
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: Arm of injection is warm to the touchMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
-
2021-11-19
Survey response — day 21, dose 3MedDRA: Headache, Self-medication — Feeling: GoodFree text: Headache requiring Tylenol.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-04-21
Dose 4 — Moderna
- 2022-04-21
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2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, NauseaAdult check-in
- 2022-04-23
- 2022-04-24
- 2022-04-25
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
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2022-07-21
Survey response — 3 months, dose 4MedDRA: Blood pressure increased, Pre-existing disease, Renal impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Elevated blood pressure. Now on medication. Kidney function continues to decline and am trying to qualify for the transplant listMedDRA releases: 2024-11 · check-in free text available
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2022-07-21
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-22
-
2022-07-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-08
Dose 5 — Moderna
- 2022-09-08
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-17
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-09-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I have had trouble focusing.
Release 3 — day 21, dose 1
Symptoms: Nauseated and diarrhea (1-26-21). 1 Imodium AD helped.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Blood sugar has been a little high.
Release 4 — day 14, dose 2
Symptoms: I did blood work and learned my kidney function continues to decline.
Release 5 — day 35, dose 2
Symptoms: I am diabetic and have been having trouble with high blood sugars, but really do NOT think it is vaccine-related.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arm of injection is warm to the touch
Release 10 — day 21, dose 3
Symptoms: Headache requiring Tylenol.
Release 12 — 3 months, dose 4
Symptoms: Elevated blood pressure. Now on medication. Kidney function continues to decline and am trying to qualify for the transplant list
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 | Blood pressure increased | · | · | ✓ |
| SD | Blood test abnormal | ✓ | ✓ | ✓ |
| SD | Diabetes mellitus | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Renal impairment | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release