3GR-15104-33500
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 600 / IL
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
-
2021-02-24
Survey response — day 21, dose 1MedDRA: Asthma, Pre-existing disease — Feeling: GoodFree text: Asthma has gotten worse, but not related to vaccine. Related to running out of ics.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Dose 2 — Moderna
-
2021-03-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-17
-
2021-06-02
Survey response — 3 months, dose 2MedDRA: Anosmia, Cyst, Cyst removal, Infection, Office visit, Swelling face — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Cyst on my scalp became infected. Face swelled, did course if antibiotics, medrol dose pack and had cyst removed. Sense of smell returned after day or so on steroids. · Healthcare visit (other): ENT, CT of sinuses and surgeonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-01
Survey response — 6 months, dose 2MedDRA: Anosmia, Cyst, Office visit, Sinusitis, Surgery, Swelling face — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cyst on my head led to facial swelling, course of medrol and antibiotics. Also have no sense of smell and sinusitis. · Healthcare visit (other): Doctor's office visits and outpatient surgeryMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-01
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-03
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 21, dose 1
Symptoms: Asthma has gotten worse, but not related to vaccine. Related to running out of ics.
Release 8 — 3 months, dose 2
Symptoms: Cyst on my scalp became infected. Face swelled, did course if antibiotics, medrol dose pack and had cyst removed. Sense of smell returned after day or so on steroids.
Healthcare visit (other): ENT, CT of sinuses and surgeon
Release 9 — 6 months, dose 2
Symptoms: Cyst on my head led to facial swelling, course of medrol and antibiotics. Also have no sense of smell and sinusitis.
Healthcare visit (other): Doctor's office visits and outpatient surgery
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 | ✓ | ✓ | ✓ |
| HCVO | Surgery | ✓ | · | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Cyst | ✓ | ✓ | ✓ |
| SD | Cyst removal | ✓ | ✓ | ✓ |
| SD | Infection | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release