45V-21452-25083
5 vaccinations
4 coded responses
48 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 326 / FL
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Moderna
-
2021-03-18
Registered in v-safe
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-21
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Injection site pain, Migraine, Pain, Poor quality sleep, Self-medication, Vision blurred — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: - [ ] 1am: Ache at and around injection site. Ache under both armpits. (Injection in left arm) - [ ] Awake at 7:30 with migraine/REALLY BAD headache. Had 2 Tylenol and codine phosphate (500/8). - [ ] Did not sleep well (5 hours) - [ ] Ache from my head down to my waist. - [ ] Cant see properly cant focus on keyboard.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
-
2021-05-19
Survey response — day 35, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: I seem to get a bad headache ever afternoon. Didnt get headaches before the COVID shots.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-07-16
- 2021-10-14
-
2021-10-28
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
-
2022-05-04
Dose 4 — Moderna
- 2022-05-22
- 2022-05-25
- 2022-06-01
- 2022-06-09
- 2022-06-15
-
2022-08-06
Survey response — 3 months, dose 4MedDRA: Emergency care, Headache, Hospitalisation, Pyrexia, Starvation ketoacidosis, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Bad headaches, fever, extreme vomiting non stop for a day. Couldn't even keep water down. Been in the ER twice and now in hospital for 5 days. The vomiting caused starvation keto acidosis. Had both shots and both boosters.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-06
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2022-08-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-07
Dose 5 — ModernaCo-administered: Flu
- 2022-10-23
- 2022-10-28
- 2022-11-16
- 2022-11-18
-
2023-01-06
Survey response — 3 months, dose 5MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-01-06
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-01-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
| 5 | 2022-10-07 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): - [ ] 1am: Ache at and around injection site. Ache under both armpits. (Injection in left arm) - [ ] Awake at 7:30 with migraine/REALLY BAD headache. Had 2 Tylenol and codine phosphate (500/8). - [ ] Did not sleep well (5 hours) - [ ] Ache from my head down to my waist. - [ ] Cant see properly cant focus on keyboard.
Release 8 — day 35, dose 2
Symptoms: I seem to get a bad headache ever afternoon. Didnt get headaches before the COVID shots.
Release 12 — 3 months, dose 4
Symptoms: Bad headaches, fever, extreme vomiting non stop for a day. Couldn't even keep water down. Been in the ER twice and now in hospital for 5 days. The vomiting caused starvation keto acidosis. Had both shots and both boosters.
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 | Emergency care | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Starvation ketoacidosis | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release