3HC-25760-02615
4 vaccinations
8 coded responses
50 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 017 / MA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 1 — Moderna
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-05-08
Dose 2 — Moderna
-
2021-05-08
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Sore throat, harder to breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-06-19
- 2021-08-07
- 2021-11-06
-
2021-12-17
Dose 3 — Moderna
-
2021-12-18
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Dizzy, sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body achesAdult check-in
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lymph node near injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node near injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2021-12-23
- 2021-12-24
-
2021-12-31
Survey response — day 14, dose 3MedDRA: Office visit, Pre-existing disease, Skin reaction, Urticaria — 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 professionalFree text: Symptoms: I started getting hives on Monday that are currently being treated. No need of epipen. I have a history of allergic reactions so it could be that something I'm not compatible with got into the holiday food. A delayed reaction like this is atypical. · Healthcare visit (other): Normal office visit, though I would have gone to urgent care if they couldn't get me inMedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-01-06
- 2022-01-08
- 2022-01-14
- 2022-01-21
-
2022-01-28
Survey response — day 42, dose 3MedDRA: Mechanical urticaria, Office visit, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: The full body itching has increased. Still have dermatographia which was something I didn't have before the booster. · Healthcare visit (other): In office visit with allergistMedDRA releases: 2024-11 · check-in free text available
-
2022-01-28
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-01
- 2022-03-20
- 2022-06-17
-
2022-10-07
Dose 4 — Moderna
-
2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-10-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2022-10-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-10-11
- 2022-10-13
- 2022-10-14
-
2022-10-22
Survey response — day 14, dose 4MedDRA: Mechanical urticaria, Pruritus — Feeling: FairFree text: Itching that spread from the back of my head to the rest of my body that lasted a couple hours. Temporary worsening of dermatographia.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
-
2023-01-06
Survey response — 3 months, dose 4MedDRA: Dyspnoea, Fatigue, Headache, Nasal congestion, Nausea, Paranasal sinus discomfort, Pre-existing disease, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-10-07 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat, harder to breath
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizzy, sore throat
Systemic reaction (other): Swollen lymph node near injection
Systemic reaction (other): Swollen lymph node near injection
Release 10 — day 14, dose 3
Symptoms: I started getting hives on Monday that are currently being treated. No need of epipen. I have a history of allergic reactions so it could be that something I'm not compatible with got into the holiday food. A delayed reaction like this is atypical. cut off by CDC
Healthcare visit (other): Normal office visit, though I would have gone to urgent care if they couldn't get me in
Release 11 — day 42, dose 3
Symptoms: The full body itching has increased. Still have dermatographia which was something I didn't have before the booster.
Healthcare visit (other): In office visit with allergist
Release 12 — day 14, dose 4
Symptoms: Itching that spread from the back of my head to the rest of my body that lasted a couple hours. Temporary worsening of dermatographia.
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 | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Mechanical urticaria | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Skin reaction | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release