3HB-10310-28816
5 vaccinations
8 coded responses
55 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 342 / FL
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-02-27
Dose 2 — Moderna
-
2021-02-27
Survey response — day 0, dose 2MedDRA: Hyperhidrosis — Feeling: Good · Site: PainFree text: SweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Difficulty sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Poor quality sleep — Feeling: Good · Site: Pain · Muscle or body achesFree text: Another restless sleep last nightMedDRA 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 2MedDRA: Pruritus — Feeling: Good · Site: Pain, ItchingFree text: Forearms itchy early last evening. Washed, moisturizer and went awayMedDRA 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
-
2021-03-28
Survey response — day 28, dose 2MedDRA: Throat irritation — Feeling: GoodFree text: Scratchy throat in the afternoon Saturday and today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-10-25
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-11-01
-
2021-11-08
Survey response — day 14, dose 3MedDRA: Abdominal pain upper, Sinus headache — Feeling: FairFree text: Stomach cramping and sinus headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Abdominal pain upper, Diarrhoea, Nausea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Daily diarrhea since 12/23, stomach ache and nausea. Multiple tests and lab work are so far inconclusive.. · Healthcare visit (other): GastroenterologistMedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-27
- 2022-02-01
-
2022-02-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-18
Dose 4 — Moderna
- 2022-04-18
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · NauseaAdult check-in
- 2022-04-20
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Poor quality sleep — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Restless sleepMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-07-18
-
2022-09-24
Dose 5 — Moderna
- 2022-10-10
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
-
2022-12-24
Health check-in — 3 months, dose 5Feeling: Fair · 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: Microscopic colitis diagnosed in Feb. 2022. Currently having a flare upAdult check-in · check-in free text available
-
2022-12-24
Call case (no matching report) — SuccessfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-09-24 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Sweating
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Difficulty sleeping
Systemic reaction (other): Another restless sleep last night
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Forearms itchy early last evening. Washed, moisturizer and went away
Release 6 — day 28, dose 2
Symptoms: Scratchy throat in the afternoon Saturday and today.
Release 10 — day 14, dose 3
Symptoms: Stomach cramping and sinus headache
Release 11 — 3 months, dose 3
Symptoms: Daily diarrhea since 12/23, stomach ache and nausea. Multiple tests and lab work are so far inconclusive..
Healthcare visit (other): Gastroenterologist
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Restless sleep
Release 12 — 3 months, dose 5
Symptoms: Microscopic colitis diagnosed in Feb. 2022. Currently having a flare up
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 | Abdominal pain upper | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release