47G-24613-98636
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 761 / TX
- 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
-
2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Drainage, mild coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
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2021-03-22
Survey response — day 14, dose 1MedDRA: Abdominal pain, Emergency care, Hospitalisation, Nephrolithiasis, Stent placement — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: I went to ER 3/20/21 with severe abdominal pain and was diagnosed with a kidney stone. I stayed in hospital over weekend and this afternoon had surgery to insert a stint into kidney.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-29
Survey response — day 21, dose 1MedDRA: Hospitalisation, Nephrolithiasis, Stent placement — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I have a kidney stone and was in hospital for 4 days March 20-23. A stent was surgically inserted to drain kidney and I was on antibiotics for 9 days. Stent removal and lithotripsy are planned for April 9.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-03
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
-
2021-04-15
Survey response — day 14, dose 2MedDRA: Lithotripsy, Nephrolithiasis — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Kidney stones; had lithotripsyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 14, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-24
- 2021-07-03
- 2021-12-13
-
2021-12-13
Callback requested for12:30PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Drainage, mild cough
Release 6 — day 14, dose 1
Symptoms: I went to ER 3/20/21 with severe abdominal pain and was diagnosed with a kidney stone. I stayed in hospital over weekend and this afternoon had surgery to insert a stint into kidney.
Release 6 — day 21, dose 1
Symptoms: I have a kidney stone and was in hospital for 4 days March 20-23. A stent was surgically inserted to drain kidney and I was on antibiotics for 9 days. Stent removal and lithotripsy are planned for April 9.
Release 7 — day 14, dose 2
Symptoms: Kidney stones; had lithotripsy
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Lithotripsy | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Stent placement | ✓ | ✓ | ✓ |
| SD | Surgery | ○ | ○ | ○ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release