45P-23932-50244
5 vaccinations
4 coded responses
45 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 557 / MN
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Medical counselling, Urinary tract infection — Feeling: Good · Site: Pain, Swelling · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): UTI infection but is from a recent Kidney Cancer surgery. · Healthcare visit (other): At my Kidney doctors office.in (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-06
Health check-in — day 7, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-06
- 2021-05-11
- 2021-06-29
- 2021-09-28
-
2021-11-02
Dose 3 — Moderna
- 2022-02-01
-
2022-02-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-30
-
2022-04-07
Dose 4 — ModernaCo-administered: Tetanus
-
2022-04-29
Survey response — day 21, dose 4MedDRA: Animal scratch, Fatigue, Listless, Pain in extremity, Skin laceration — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: After my 4th vaccine I was very tired & listless the next day only. My arm was sore for 3-4 days, also. I did have a Tetanus shot in the same arm, that same day. Id been scratched,on my hand,by a friends nice dog & his nail was sharp & cut my handMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-06
- 2022-05-12
-
2022-05-19
Survey response — day 42, dose 4MedDRA: Diarrhoea, Fatigue — Feeling: FairFree text: Tired & diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-06-21
Dose 5 — Moderna
-
2022-06-21
Survey response — day 0, dose 5MedDRA: Unevaluable event — Feeling: GoodFree text: Ive only received 4 shots. The last being April 7th, 2022. Today you sent me a survey asking how many shots i had & all four of mine were listed. When it asked the total number at the end, only five was the option given & wouldnt move on unless itMedDRA releases: 2024-11 · check-in free text available
- 2022-06-22
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-27
- 2022-06-30
- 2022-07-06
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-09-20
- 2022-12-20
- 2023-06-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-07 | Moderna | Tetanus |
| 5 | 2022-06-21 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): UTI infection but is from a recent Kidney Cancer surgery.
Healthcare visit (other): At my Kidney doctors office.in (b)(6)
redacted (b)(6)
Release 11 — day 21, dose 4
Symptoms: After my 4th vaccine I was very tired & listless the next day only. My arm was sore for 3-4 days, also. I did have a Tetanus shot in the same arm, that same day. Id been scratched,on my hand,by a friends nice dog & his nail was sharp & cut my hand cut off by CDC
Release 11 — day 42, dose 4
Symptoms: Tired & diarrhea
Release 12 — day 0, dose 5
Systemic reaction (other): Ive only received 4 shots. The last being April 7th, 2022. Today you sent me a survey asking how many shots i had & all four of mine were listed. When it asked the total number at the end, only five was the option given & wouldnt move on unless it 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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Animal scratch | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Listless | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Skin laceration | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release