3FN-18539-28387
4 vaccinations
7 coded responses
31 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 201 / VA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Moderna
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: headache in morning could be related to rainy day/pressure (common for me)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Pre-existing disease, Self-medication — Feeling: GoodFree text: coincidental?--dry cough in evening, maybe a runny nose.. i used flonase, take 1/day zyrtecMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree text: dry cough at night for few minutes and early morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-03-28
Dose 2 — Moderna
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Malaise, Pyrexia — Feeling: Good · Site: Redness, Swelling, Itching · Headache · Be unable to do your normal daily activitiesFree text: yesterday (day after) fever, joint pain, headache, general malaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Site: Redness, Swelling, Itching · HeadacheFree text: diameter of redness around injection doubled yesterday, slight increase in diameter today., slight itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-11
- 2021-04-18
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2021-04-27
Survey response — day 28, dose 2MedDRA: Headache, Musculoskeletal chest pain, Osteoarthritis, Pre-existing disease, Sensitivity to weather change — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: may be 'current' health but headache every day (i do get headaches with weather changes--going to rain); and osteoarthritis in back/ribs or what they pressing on right side or digestive system worse in last few weeks. (gall bladder out 12/19). · Healthcare visit (other): trying PT for rib pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-02
- 2021-05-09
- 2021-06-27
-
2021-09-26
Survey response — 6 months, dose 2MedDRA: Pre-existing disease, Respiratory tract congestion, Sneezing — Feeling: GoodFree text: sneezing, chest congestion, --a day later i attributed to pollen allergies. week of 20 SepMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Dose 3 — Moderna
- 2022-03-28
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2022-04-01
Dose 4 — Moderna
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2022-04-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-18
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
- 2022-09-30
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-28 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): headache in morning could be related to rainy day/pressure (common for me)
Systemic reaction (other): coincidental?--dry cough in evening, maybe a runny nose.. i used flonase, take 1/day zyrtec
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): dry cough at night for few minutes and early morning
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): yesterday (day after) fever, joint pain, headache, general malaise
Systemic reaction (other): diameter of redness around injection doubled yesterday, slight increase in diameter today., slight itching.
Release 8 — day 28, dose 2
Symptoms: may be 'current' health but headache every day (i do get headaches with weather changes--going to rain); and osteoarthritis in back/ribs or what they pressing on right side or digestive system worse in last few weeks. (gall bladder out 12/19).
Healthcare visit (other): trying PT for rib pain.
Release 9 — 6 months, dose 2
Symptoms: sneezing, chest congestion, --a day later i attributed to pollen allergies. week of 20 Sep
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 | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Osteoarthritis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sensitivity to weather change | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release