46W-23175-60659
5 vaccinations
8 coded responses
61 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Moderna
-
2021-03-08
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Feeling abnormal — Feeling: GoodFree text: Yesterday I was a bit tired/foggy but didnt realize it until I woke up feeling much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-22
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: Mild headache, comes and goes. More often on left side. Not sure if it was there before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-05
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Colour blindness, Malaise, Photopsia — Feeling: Poor · Site: Pain · Headache, Fatigue or tirednessFree text: Happened at night. Felt sick but not feverish. Saw blue color once when I closed my eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-05-04
Survey response — day 28, dose 2MedDRA: Condition aggravated, Diarrhoea, Pre-existing disease — Feeling: GoodFree text: I often have diarrhea and upper abdominal discomfort. Seems like its getting more frequent since the 2nd shot. (Had some of these symptoms prior to first shot. )MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2021-10-05
-
2021-10-28
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
-
2021-11-11
Survey response — day 14, dose 3MedDRA: Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-15
-
2021-11-18
Survey response — day 21, dose 3MedDRA: Chest pain, Office visit, Pericarditis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Chest pain again. Cardiologist thinks it's pericarditis. · Healthcare visit (other): Also follow up regular visitMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-19
- 2021-11-25
- 2021-11-30
- 2021-12-02
- 2021-12-09
- 2022-01-27
-
2022-04-02
Dose 4 — Moderna
- 2022-04-19
- 2022-04-23
- 2022-04-30
- 2022-05-07
-
2022-05-14
Survey response — day 42, dose 4MedDRA: Arthralgia — Feeling: GoodFree text: Joint pain in finger. Started on 4/26 but forgot to report. Seems to be getting worse.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-02
- 2022-10-01
-
2022-10-14
Dose 5 — Pfizer-BioNTech
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
| 5 | 2022-10-14 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday I was a bit tired/foggy but didnt realize it until I woke up feeling much better today.
Release 6 — day 14, dose 1
Symptoms: Mild headache, comes and goes. More often on left side. Not sure if it was there before.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Happened at night. Felt sick but not feverish. Saw blue color once when I closed my eyes.
Release 8 — day 28, dose 2
Symptoms: I often have diarrhea and upper abdominal discomfort. Seems like its getting more frequent since the 2nd shot. (Had some of these symptoms prior to first shot. )
Release 10 — day 14, dose 3
Symptoms: Chest pain
Release 10 — day 21, dose 3
Symptoms: Chest pain again. Cardiologist thinks it's pericarditis.
Healthcare visit (other): Also follow up regular visit
Release 11 — day 42, dose 4
Symptoms: Joint pain in finger. Started on 4/26 but forgot to report. Seems to be getting worse.
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pericarditis | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Colour blindness | ○ | ✓ | ○ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Photopsia | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release