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3WY-16936-11110

2 vaccinations 4 coded responses 17 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
528 / IA
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills · Be unable to work
    Free text: Felt fainty this morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Syncope — Feeling: Fair · Fatigue or tiredness
    Free text: Fainty/dizzy feeling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Itching · Fatigue or tiredness
    Adult check-in
  10. 2021-02-16
    Survey response — day 14, dose 1
    MedDRA: Abdominal discomfort, Asthenia, Back pain, Decreased appetite, Fatigue, Feeling abnormal, Feeling of body temperature change, Medical counselling, Pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Cold/hot- but no temp; no energy; not hungry; extremely tired; felt in a fog; body/back aches; tight tummy feeling · Healthcare visit (other): Phone call to my doctor for advice; had a rapid COVID test but was negative; told t o push fluids/rest- if not feeling better soon to call back for an appointment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-16
    Report sent to call center — day 14, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-02
    Dose 2 — Moderna
  14. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  15. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Abdominal pain
    Adult check-in
  18. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Abdominal pain
    Adult check-in
  19. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Abdominal pain · Be unable to work
    Adult check-in
  20. 2021-03-09
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches, Abdominal pain · Be unable to work
    Adult check-in
  21. 2021-08-05
  22. 2021-09-02
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain, Gastrointestinal stromal tumour, Neoplasm malignant, Office visit — 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 professional
    Free text: Symptoms: I started having horrible abdominal pain and after seeing my doctor was diagnosed with cancer in March, 2021- a GIST tumor: Gastro Intestinal Stromal Tumor. · Healthcare visit (other): My regular doctor and then an oncologist
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-09-02
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  24. 2021-09-07

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Felt fainty this morning

2021-02-08

Systemic reaction (other): Fainty/dizzy feeling

Release 4 — day 14, dose 1

2021-02-16

Symptoms: Cold/hot- but no temp; no energy; not hungry; extremely tired; felt in a fog; body/back aches; tight tummy feeling
Healthcare visit (other): Phone call to my doctor for advice; had a rapid COVID test but was negative; told t o push fluids/rest- if not feeling better soon to call back for an appointment

Release 9 — 6 months, dose 2

2021-09-02

Symptoms: I started having horrible abdominal pain and after seeing my doctor was diagnosed with cancer in March, 2021- a GIST tumor: Gastro Intestinal Stromal Tumor.
Healthcare visit (other): My regular doctor and then an oncologist

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
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ · ✓
HCVOSARS-CoV-2 test negative ✓ ✓ ✓
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal pain ✓ · ✓
SDAsthenia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDFeeling of body temperature change ✓ ✓ ✓
SDGastrointestinal stromal tumour ✓ · ✓
SDNeoplasm malignant ✓ · ✓
SDPain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROSyncope ✓ ✓ ✓

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