3DS-16265-30264
4 vaccinations
6 coded responses
43 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 446 / OH
- Registered
- 2021-09-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-25
Registered in v-safe
-
2021-09-25
Dose 1 — ModernaCo-administered: Flu
- 2021-09-25
- 2021-09-26
-
2021-09-27
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The pain(soreness) at the site is almost completely gone now.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
-
2021-10-09
Survey response — day 14, dose 1MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: FairFree text: I've had a sinus infection this last week for 4-5 days now but I did get Covid tested and it was negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-16
-
2021-10-23
Dose 2 — Moderna
- 2021-10-23
-
2021-10-24
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Insomnia — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: I'm tired but I didn't sleep much overnight so it may not have anything to do with vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Insomnia — Feeling: Good · Site: Pain, Itching · HeadacheFree text: Again I can't say the headache is due to vaccine since I didn't get a full night rest but wanted to mention just in caseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
-
2022-01-22
Survey response — 3 months, dose 2MedDRA: COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had contracted Covid-omicron variant on christmas and so it really hit me just before New Years . I have recovered and my case was manageable and fairly mild once I got past the 2-3 days of intense symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-25
- 2022-04-23
-
2022-06-17
Dose 3 — Moderna
- 2022-06-23
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-07-17
- 2022-07-22
- 2022-07-29
-
2022-10-14
Dose 4 — ModernaCo-administered: Flu
- 2022-10-15
-
2022-10-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal painAdult check-in
- 2022-10-17
-
2022-10-18
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain — Feeling: GoodFree text: The abdominal pain is almost gone now.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-30
- 2022-11-07
- 2022-11-13
- 2022-11-18
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-25 | Moderna | Flu |
| 2 | 2021-10-23 | Moderna | No |
| 3 | 2022-06-17 | Moderna | No |
| 4 | 2022-10-14 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): The pain(soreness) at the site is almost completely gone now.
Release 10 — day 14, dose 1
Symptoms: I've had a sinus infection this last week for 4-5 days now but I did get Covid tested and it was negative.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): I'm tired but I didn't sleep much overnight so it may not have anything to do with vaccine.
Systemic reaction (other): Again I can't say the headache is due to vaccine since I didn't get a full night rest but wanted to mention just in case
Release 11 — 3 months, dose 2
Symptoms: I had contracted Covid-omicron variant on christmas and so it really hit me just before New Years . I have recovered and my case was manageable and fairly mild once I got past the 2-3 days of intense symptoms.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): The abdominal pain is almost gone now.
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 | COVID-19 | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release