3DD-94735-20305
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 120 / NY
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
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2021-01-26
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Itching · HeadacheAdult check-in
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: Mild Headache last couple daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Nausea, Abdominal painAdult check-in
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-18
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2021-02-25
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Chills, Decreased appetite — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomachache , loss of appetite and chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — day 21, dose 2MedDRA: Haemorrhoids, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hemorrhoids never had before except with birth of children. These started 2/15/21 . My shot was 2/11/21 . No constipation, severe diarrhea. Got progressively worse . 3/2/21 seeked medical advice. Required removal . Related rare side effect ??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-13
Survey response — day 28, dose 2MedDRA: Haemorrhoids, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Hemorrhoids will be surgically removed 3/25/21 · Healthcare visit (other): Primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-05-13
- 2021-08-12
- 2021-10-19
-
2022-02-11
Survey response — 12 months, dose 2MedDRA: Migraine, Office visit — 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 consultation, Emergency room or emergency department visitFree text: Symptoms: Migraine headaches · Healthcare visit (other): Primary visit and specialist visit in personMedDRA releases: 2024-11 · check-in free text available
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2022-02-11
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
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2022-02-14
Call successfulOther
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
3 call center cases
1 successful · 2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: Mild Headache last couple days
Release 4 — day 14, dose 2
Symptoms: Stomachache , loss of appetite and chills
Release 5 — day 21, dose 2
Symptoms: Hemorrhoids never had before except with birth of children. These started 2/15/21 . My shot was 2/11/21 . No constipation, severe diarrhea. Got progressively worse . 3/2/21 seeked medical advice. Required removal . Related rare side effect ??
Release 5 — day 28, dose 2
Symptoms: Hemorrhoids will be surgically removed 3/25/21
Healthcare visit (other): Primary care physician
Release 11 — 12 months, dose 2
Symptoms: Migraine headaches
Healthcare visit (other): Primary visit and specialist visit in person
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Haemorrhoids | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release