472-19056-32138
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 941 / CA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2020-12-29
Registered in v-safe
-
2020-12-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Sinus congestion — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Some sinus congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Injection site pain, Self-medication, Skin tightness — Feeling: GoodFree text: My injection site became tender on 1/7/21 through 1/9/21, and the skin became tight on 1/8/21. Wasn't warm and no rash, similar to day 2 after vaccin. Ok with some naproxen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
-
2021-01-27
Dose 2 — Moderna
-
2021-01-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pain, Injection site pruritus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Redness, itching, and pain about 2 inches below my injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Tenderness — Feeling: Good · Fatigue or tirednessFree text: Mild tenderness where I had the redness yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-10
- 2021-02-18
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-05-02
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I re-injured my knees while working on call at the hospital but its definitely just a flare of a prior injuries I sustained before the pandemic, and not vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-29
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Really tired, more headaches · Healthcare visit (other): Called my works COVID hotline and tested negativeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-29
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Some sinus congestion
Release 1 — day 14, dose 1
Symptoms: My injection site became tender on 1/7/21 through 1/9/21, and the skin became tight on 1/8/21. Wasn't warm and no rash, similar to day 2 after vaccin. Ok with some naproxen.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Redness, itching, and pain about 2 inches below my injection site
Systemic reaction (other): Mild tenderness where I had the redness yesterday
Release 8 — 3 months, dose 2
Symptoms: I re-injured my knees while working on call at the hospital but its definitely just a flare of a prior injuries I sustained before the pandemic, and not vaccine related.
Release 9 — 6 months, dose 2
Symptoms: Really tired, more headaches
Healthcare visit (other): Called my works COVID hotline and tested 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 |
|---|---|---|---|---|
| HCVO | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Skin tightness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release