3EP-14816-57244
5 vaccinations
8 coded responses
48 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 405 / KY
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
-
2021-01-06
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Feeling of body temperature change, Temperature regulation disorder — Feeling: Fair · Site: Pain · Fever · Muscle or body achesFree text: Just hot then cold feelings / temperature instability feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-09
- 2021-01-12
- 2021-01-21
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Survey response — day 42, dose 2MedDRA: Muscle strain, Pre-existing disease — Feeling: Fair · Be unable to work, 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: Back strain ( recurrence of chronic problem )MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Report sent to call center — day 42, 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)
- 2021-05-05
- 2021-08-04
-
2021-09-18
Dose 3 — Moderna
- 2021-10-25
- 2021-10-30
- 2021-12-18
- 2022-03-03
- 2022-03-04
-
2022-03-19
Survey response — 6 months, dose 3MedDRA: Concussion, Fall, Gait disturbance, Post concussion syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Had a fall due to tripping. Had minor concussion. Minor Post concussive symptoms are persisting.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-19
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-12
Dose 4 — Pfizer-BioNTech
-
2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Left arm mild lymph node soreness (injection side )MedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: Craniocerebral injury, Dizziness, Psychomotor disadaptation syndrome — Feeling: GoodFree text: Usual post fall & TBI LightheadednessMedDRA releases: 2024-11 · check-in free text available
-
2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Craniocerebral injury — Feeling: GoodFree text: Same mild unrelated to Vaccine TBI symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-12
- 2022-05-24
- 2022-07-14
-
2022-10-11
Survey response — 6 months, dose 4MedDRA: Asthma, COVID-19, Office visit, Pre-existing disease, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Had COVID - confirmed by labtest Aug 15th Have Asthma recurrence still active Fall allergy symptoms · Healthcare visit (other): PulmonologistMedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-12
-
2022-10-20
Dose 5 — Pfizer-BioNTech
-
2022-10-24
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction — Feeling: GoodFree text: Allergy symptoms like all AutumnsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-10-26
- 2022-10-29
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2023-01-21
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-09-18 | Moderna | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
| 5 | 2022-10-20 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Just hot then cold feelings / temperature instability feeling
Release 5 — day 42, dose 2
Symptoms: Back strain ( recurrence of chronic problem )
Release 11 — 6 months, dose 3
Symptoms: Had a fall due to tripping. Had minor concussion. Minor Post concussive symptoms are persisting.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Left arm mild lymph node soreness (injection side )
Systemic reaction (other): Usual post fall & TBI Lightheadedness
Systemic reaction (other): Same mild unrelated to Vaccine TBI symptoms
Release 12 — 6 months, dose 4
Symptoms: Had COVID - confirmed by labtest Aug 15th Have Asthma recurrence still active Fall allergy symptoms
Healthcare visit (other): Pulmonologist
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Allergy symptoms like all Autumns
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 | Asthma | · | · | ✓ |
| SD | Concussion | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Post concussion syndrome | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Craniocerebral injury | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Psychomotor disadaptation syndrome | · | · | ✓ |
| SRO | Temperature regulation disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release