3MS-18992-18910
4 vaccinations
5 coded responses
31 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 816 / CO
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Site: PainFree text: Runny nose, sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 42, dose 2MedDRA: Peripheral venous disease, Pre-existing disease, Rash macular, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Venous insufficiency...purple & red blotch on lower leg. I have had reoccuances past 3 yearsthis one is larger, but probably unrelated to vaccine. · Healthcare visit (other): Dr appt for March 23MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-07
Survey response — 3 months, dose 2MedDRA: Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelling of foot beneath RT side ankle bone. Dr says it may be due to foot pads he had prescribed for different concern previouslyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-06
-
2021-10-27
Dose 3 — Moderna
- 2021-12-30
- 2022-02-05
-
2022-04-06
Dose 4 — Moderna
- 2022-04-24
- 2022-04-27
- 2022-05-04
-
2022-05-13
Survey response — day 35, dose 4MedDRA: Tension headache — Feeling: FairFree text: Headache, tension. Probably normal after last minute flights and relative's funeral. I'll track conditionMedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Survey response — day 42, dose 4MedDRA: Blood pressure increased, Fatigue, Fluid imbalance, Headache, Office visit, SARS-CoV-2 test negative, Tension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headache, tension, higher blood pressure, fatigue. I believe it was dehydration returning to 7,000 feet after attending funeral week at 1200 feet. My home Covid test was negative and I was checked by a Doctor. I've felt fine for 2+ days nowMedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-19
- 2022-05-24
- 2022-05-24
- 2022-05-24
- 2022-10-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
2 waits over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose, sneezing
Release 5 — day 42, dose 2
Symptoms: Venous insufficiency...purple & red blotch on lower leg. I have had reoccuances past 3 yearsthis one is larger, but probably unrelated to vaccine.
Healthcare visit (other): Dr appt for March 23
Release 8 — 3 months, dose 2
Symptoms: Swelling of foot beneath RT side ankle bone. Dr says it may be due to foot pads he had prescribed for different concern previously
Release 11 — day 35, dose 4
Symptoms: Headache, tension. Probably normal after last minute flights and relative's funeral. I'll track condition
Release 11 — day 42, dose 4
Symptoms: Headache, tension, higher blood pressure, fatigue. I believe it was dehydration returning to 7,000 feet after attending funeral week at 1200 feet. My home Covid test was negative and I was checked by a Doctor. I've felt fine for 2+ days now
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Fluid imbalance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Peripheral venous disease | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tension | · | · | ✓ |
| SD | Tension headache | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release