3PV-27183-55681
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
-
2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Gingival pain, Glossodynia, Oral pain — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: my mouth hurts, little sores under tongue and on my gumsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
-
2021-04-09
Survey response — day 14, dose 1MedDRA: Diarrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Can't get diarrhea under control, taking lomotif and it's not helping. Seeing the Dr Monday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body achesAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
-
2021-04-30
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: my back started a few days ago, not sure why, but it's annoying afMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
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2021-07-23
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Office visit, Pre-existing disease, Pulmonary congestion, Renal cyst, Tooth abscess, Tooth extraction — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have stage 4 renal cancer, since vaccination another lesion and cyst pop up on my remaining kidney. Also, a tooth suddenly abscessed, requiring removal, and my lungs have been congested for a couple of weeks. Being ultra careful re: Delta variant. · Healthcare visit (other): extra oncology visits, ultra sound, CT scanMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-23
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
- 2021-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): my mouth hurts, little sores under tongue and on my gums
Release 7 — day 14, dose 1
Symptoms: Can't get diarrhea under control, taking lomotif and it's not helping. Seeing the Dr Monday.
Release 8 — day 7, dose 2
Systemic reaction (other): my back started a few days ago, not sure why, but it's annoying af
Release 9 — 3 months, dose 2
Symptoms: I have stage 4 renal cancer, since vaccination another lesion and cyst pop up on my remaining kidney. Also, a tooth suddenly abscessed, requiring removal, and my lungs have been congested for a couple of weeks. Being ultra careful re: Delta variant. cut off by CDC
Healthcare visit (other): extra oncology visits, ultra sound, CT scan
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 | Condition aggravated | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pulmonary congestion | ✓ | · | ✓ |
| SD | Renal cyst | ✓ | · | ✓ |
| SD | Tooth abscess | ✓ | · | ✓ |
| SD | Tooth extraction | ✓ | · | ✓ |
| SRO | Gingival pain | ✓ | ✓ | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release