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3NX-12133-84967

2 vaccinations 4 coded responses 18 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
450 / OH
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Registered in v-safe
  2. 2021-03-08
    Dose 1 — Moderna
  3. 2021-03-08
    Survey response — day 0, dose 1
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: I had covid in November 2020. I still have the on going issues from the virus. No smell, taste, disruptive sleep, brain fog.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Chills
    Adult check-in
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-23
    Survey response — day 14, dose 1
    MedDRA: Ageusia, Anosmia, COVID-19, Fatigue, Headache, Office visit, Rhinorrhoea, Sleep disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I had covid in November & have been dealing with on going issues since then. Fatigue, headaches, still no taste or smell, runn y nose, disruptive sleep . My doctor has ran blood work, he said my issues are from covid · Healthcare visit (other): Appointment with my doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-23
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-04-05
    Dose 2 — Moderna
  13. 2021-04-05
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling
    Free text: Not today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  17. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  19. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-04-12
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  21. 2021-04-20
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-10-04
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Respiratory disorder — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I can't remember if I had stated before that at times I have breathing issues · Healthcare visit (other): Visit with my doctor
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-04
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-10-08

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-05Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-08

Systemic reaction (other): I had covid in November 2020. I still have the on going issues from the virus. No smell, taste, disruptive sleep, brain fog.

Release 6 — day 14, dose 1

2021-03-23

Symptoms: I had covid in November & have been dealing with on going issues since then. Fatigue, headaches, still no taste or smell, runn y nose, disruptive sleep . My doctor has ran blood work, he said my issues are from covid
Healthcare visit (other): Appointment with my doctor

Release 6 — day 0, dose 2

2021-04-05

Systemic reaction (other): Not today

Release 10 — 6 months, dose 2

2021-10-04

Symptoms: I can't remember if I had stated before that at times I have breathing issues
Healthcare visit (other): Visit with 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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAgeusia ✓ ✓ ✓
SDAnosmia ✓ ✓ ✓
SDCOVID-19 ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDRespiratory disorder · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release