47M-45686-19372
5 vaccinations
10 coded responses
66 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 432 / OH
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5S7-24711-80856
Other · Female · 2022-06-27
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-13
- 2021-01-15
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Retro orbital pain with eye movementMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Good · Site: PainFree text: Still have retroorbital pain with eye movementMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Eye movement disorder, Eye pain — Feeling: GoodFree text: Retro orbital pain on eye movement almost goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Survey response — day 28, dose 2MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: This probably has nothing to do with the vaccine but my hypertension is worsening despite increasing doses of Lisinopril for no explainable reasonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-20
Survey response — day 35, dose 2MedDRA: Hypertension, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: As before, probably not related to the vaccine, but the paradoxical worsening of hypertension (lower BP before taking the Lisinopril each day) has led to switching to Amlodipine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-28
- 2021-05-15
- 2021-08-15
-
2021-12-02
Dose 3 — Moderna
-
2021-12-02
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-16
-
2021-12-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-03-03
-
2022-05-02
Dose 4 — Moderna
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
-
2022-05-07
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Good · Chills, Muscle or body achesFree text: Incidentally we have a sick family member so I might have a mild case of that virusMedDRA releases: 2024-11 · check-in free text available
-
2022-05-08
Survey response — days 1–6 daily, dose 4MedDRA: Gastrointestinal viral infection — Feeling: Good · Muscle or body aches, Fatigue or tiredness, NauseaFree text: I think I have a mild GI virus from a household memberMedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Survey response — day 7, dose 4MedDRA: Gastrointestinal viral infection — Feeling: Good · Abdominal painFree text: I am recovering from a mild GI bugMedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-07
- 2022-06-13
- 2022-08-01
- 2022-10-31
-
2022-12-02
Dose 5 — Moderna
-
2022-12-04
Survey response — days 1–6 daily, dose 5MedDRA: Chills, Headache, Nausea, Pain — Feeling: Good · Site: Redness · HeadacheFree text: Yesterday I had chills, aches, headache, and nauseaMedDRA releases: 2024-11 · check-in free text available
- 2022-12-05
- 2022-12-06
- 2022-12-07
- 2022-12-08
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2022-12-31
- 2023-01-06
- 2023-01-13
- 2023-03-03
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-05-02 | Moderna | No |
| 5 | 2022-12-02 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Retro orbital pain with eye movement
Systemic reaction (other): Still have retroorbital pain with eye movement
Systemic reaction (other): Retro orbital pain on eye movement almost gone
Release 5 — day 28, dose 2
Symptoms: This probably has nothing to do with the vaccine but my hypertension is worsening despite increasing doses of Lisinopril for no explainable reason
Release 6 — day 35, dose 2
Symptoms: As before, probably not related to the vaccine, but the paradoxical worsening of hypertension (lower BP before taking the Lisinopril each day) has led to switching to Amlodipine.
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Incidentally we have a sick family member so I might have a mild case of that virus
Systemic reaction (other): I think I have a mild GI virus from a household member
Release 11 — day 7, dose 4
Systemic reaction (other): I am recovering from a mild GI bug
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Yesterday I had chills, aches, headache, and nausea
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 | Hypertension | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Eye movement disorder | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal viral infection | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release