45E-26403-39193
3 vaccinations
3 coded responses
28 check-ins
3 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 838 / ID
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: For tge last few days i have neen more tired than usual. I thought it was because we had a big storm here and lost power gor several days. I thought all the darkness was making me tired. Today i thought it might be from the vacvineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-01-18
-
2021-01-25
Survey response — day 14, dose 1MedDRA: Neck pain, Rash, Rash erythematous, Skin warm, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: 3.5 inch welted red rash appeared on day 8. It started with some hives and over the course of several days it grew. It was very red snd hot to tge touch. My neck on that side was also soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
- 2021-02-08
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-04-05
- 2021-04-08
- 2021-05-10
- 2021-08-10
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2021-11-20
Dose 3 — Moderna
- 2022-02-10
-
2022-02-19
Survey response — 3 months, dose 3MedDRA: Fatigue, Gingival blister, Oral mucosal blistering, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: This occured back in December but i didnt repirt it because i didnt think it was related. 10 after my booster i developed blisters inside my mouth. 3 of them were along my gum line. I was also achey and fatigue. My dentist thinks it was shinglesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): For tge last few days i have neen more tired than usual. I thought it was because we had a big storm here and lost power gor several days. I thought all the darkness was making me tired. Today i thought it might be from the vacvine
Release 2 — day 14, dose 1
Symptoms: 3.5 inch welted red rash appeared on day 8. It started with some hives and over the course of several days it grew. It was very red snd hot to tge touch. My neck on that side was also sore
Release 11 — 3 months, dose 3
Symptoms: This occured back in December but i didnt repirt it because i didnt think it was related. 10 after my booster i developed blisters inside my mouth. 3 of them were along my gum line. I was also achey and fatigue. My dentist thinks it was shingles cut off by CDC
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 | Fatigue | · | · | ✓ |
| SD | Gingival blister | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oral mucosal blistering | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release