3X2-76439-52554
4 vaccinations
5 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 330 / FL
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
- 2021-03-06
- 2021-03-07
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-01
Dose 2 — Moderna
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I dont feel to eat food, only drink water or teaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-09
- 2021-05-13
- 2021-07-03
-
2021-09-30
Survey response — 6 months, dose 2MedDRA: Emergency care, Flank pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Pain in my lower left side, had to go to ER and got test run and a CT scan, but noting was found, so have to follow up with GYN and or another doctor.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-30
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-10-04
-
2021-11-23
Dose 3 — Moderna
- 2022-04-01
-
2022-07-22
Dose 4 — Moderna
-
2022-07-28
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Uneasy feeling on my head, dizzy feelingMedDRA releases: 2024-11 · check-in free text available
-
2022-07-29
Survey response — day 7, dose 4MedDRA: Brain fog, Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend schoolFree text: Foggy and somewhat dizzyMedDRA releases: 2024-11 · check-in free text available
- 2022-08-08
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-03
-
2022-10-21
Survey response — 3 months, dose 4MedDRA: Aphonia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: I thought I had Covid a few weeks ago as my voice was going in and out, no major pain but I had some congestion. So I took the test at home and it was Negative.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-07-22 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I dont feel to eat food, only drink water or tea
Release 9 — 6 months, dose 2
Symptoms: Pain in my lower left side, had to go to ER and got test run and a CT scan, but noting was found, so have to follow up with GYN and or another doctor.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Uneasy feeling on my head, dizzy feeling
Release 12 — day 7, dose 4
Systemic reaction (other): Foggy and somewhat dizzy
Release 12 — 3 months, dose 4
Symptoms: I thought I had Covid a few weeks ago as my voice was going in and out, no major pain but I had some congestion. So I took the test at home and it was Negative.
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 |
|---|---|---|---|---|
| SD | Aphonia | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release