3H3-36151-23566
4 vaccinations
6 coded responses
25 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 913 / CA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-15
Dose 1 — Moderna
-
2021-03-18
Registered in v-safe
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose decreased, Pre-existing disease — Feeling: FairFree text: I have type 1 Diabetes and my blood sugars seemed to run low for a few days. I am taking care of it. I believe all Type 1 Diabetics should be vaccinated due to our compromised immune systems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Moderna
- 2021-04-19
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-26
- 2021-07-13
-
2021-09-22
Dose 3 — ModernaCo-administered: Flu
- 2021-10-11
- 2021-10-28
- 2021-11-03
-
2021-12-22
Survey response — 3 months, dose 3MedDRA: Dehydration, Diabetic ketoacidosis, Malaise, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold, DKA, severe dehydration. Yucky feeling.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-23
-
2022-04-17
Dose 4 — Moderna
- 2022-05-14
-
2022-05-15
Survey response — day 28, dose 4MedDRA: Cough — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have been coughing. My husband is a teacher and he was sent home last Thursday as he tested Positive. I am being as careful as I can be.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Survey response — day 35, dose 4MedDRA: Asthenia, Asthma, Cough, Dyspnoea, Fatigue, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, 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: Coughing, runny nose, difficulty breathing, asthmatic difficulties. Throat ache. Tired and weak- Much pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-23
-
2022-05-29
Survey response — day 42, dose 4MedDRA: Cough, Painful respiration, Pre-existing disease — Feeling: Poor · 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: It hurts to breathe. The coughing does not stop. My Asthma, T1D, & NF1 are making it worse. Sleeping would help me greatly. -SIGHMedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-31
- 2022-05-31
- 2022-07-17
- 2022-10-18
-
2023-04-17
Survey response — 12 months, dose 4MedDRA: Pneumonia — 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 · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-04-17
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-04-18
- 2023-04-18
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-09-22 | Moderna | Flu |
| 4 | 2022-04-17 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have type 1 Diabetes and my blood sugars seemed to run low for a few days. I am taking care of it. I believe all Type 1 Diabetics should be vaccinated due to our compromised immune systems.
Release 10 — 3 months, dose 3
Symptoms: Cold, DKA, severe dehydration. Yucky feeling.
Release 11 — day 28, dose 4
Symptoms: I have been coughing. My husband is a teacher and he was sent home last Thursday as he tested Positive. I am being as careful as I can be.
Release 11 — day 35, dose 4
Symptoms: Coughing, runny nose, difficulty breathing, asthmatic difficulties. Throat ache. Tired and weak- Much pain.
Release 11 — day 42, dose 4
Symptoms: It hurts to breathe. The coughing does not stop. My Asthma, T1D, & NF1 are making it worse. Sleeping would help me greatly. -SIGH
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 | Asthenia | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Diabetic ketoacidosis | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Painful respiration | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Blood glucose decreased | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release