3NB-12519-82446
4 vaccinations
6 coded responses
44 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 131 / NY
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-01-22
- 2021-01-23
- 2021-01-30
-
2021-02-06
Survey response — day 21, dose 1MedDRA: Palpitations — Feeling: FairFree text: Heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessFree text: Sneezing, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-05-15
Survey response — 3 months, dose 2MedDRA: Hepatic enzyme abnormal, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Symptoms: Elevated liver enzymes, gallstones and possible autoimmune hepatitis. These probably aren't related to the vaccine, but are new in the past month. · Healthcare visit (other): Will be having gallbladder surgery soon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-14
-
2021-10-29
Dose 3 — Moderna
- 2021-10-31
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Sinus disorder — Feeling: Fair · HeadacheFree text: Sinus issuesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-21
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-02-14
- 2022-04-29
-
2022-10-01
Dose 4 — ModernaCo-administered: Flu
-
2022-10-11
Survey response — day 7, dose 4MedDRA: Sinus disorder — Feeling: Fair · Fatigue or tirednessFree text: Sinus issuesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
-
2022-10-22
Survey response — day 21, dose 4MedDRA: Nausea, Office visit, Sinus disorder, Sinus headache, Sinusitis, Upper-airway cough syndrome, Vomiting — Feeling: Good · 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 have been having sinus issues since my shot and this past week I had a horrible sinus headache, inflamed sinuses and post natal drip causing nausea and vomiting. · Healthcare visit (other): Saw my doctorMedDRA releases: 2024-11 · check-in free text available
-
2022-10-22
Report sent to call center — day 21, dose 4Be 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)
- 2022-10-26
- 2022-10-31
- 2022-11-05
- 2022-11-12
- 2022-12-31
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-10-01 | Moderna | Flu |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 21, dose 1
Symptoms: Heart palpitations
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sneezing, runny nose
Release 8 — 3 months, dose 2
Symptoms: Elevated liver enzymes, gallstones and possible autoimmune hepatitis. These probably aren't related to the vaccine, but are new in the past month.
Healthcare visit (other): Will be having gallbladder surgery soon.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sinus issues
Release 12 — day 7, dose 4
Systemic reaction (other): Sinus issues
Release 12 — day 21, dose 4
Symptoms: I have been having sinus issues since my shot and this past week I had a horrible sinus headache, inflamed sinuses and post natal drip causing nausea and vomiting.
Healthcare visit (other): Saw my doctor
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Hepatic enzyme abnormal | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | · | · | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release