4AT-27189-75148
4 vaccinations
5 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-26
Dose 2 — Moderna
-
2021-02-28
Registered in v-safe
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Lethargy, Pain, Pyrexia — Feeling: Good · Chills · Be unable to work, Be unable to do your normal daily activitiesFree text: Yes, but not for today. I waited two days to sign up for vsafe, and by then my symptoms were gone. But within 16 hours of vaccine I had severe body aches, mild headache, lethargy and fever of 100.8. But all resolved within 24 hours. I did not see a way to enter symptoms for previous days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Diverticulitis — 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: Diverticulitis and colitis in the splenic flexure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
-
2021-11-09
Survey response — day 14, dose 3MedDRA: Pyrexia — Feeling: GoodFree text: Slight fever for two daysMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2022-01-25
Survey response — 3 months, dose 3MedDRA: Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold like symptoms, runny nose, sore throat, fatigue, headache.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-15
-
2022-02-16
Call successfulDoes not wish to fill out VAERS report
- 2022-04-26
-
2022-09-13
Dose 4 — Moderna
- 2022-10-09
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-13
-
2023-03-16
Survey response — 6 months, dose 4MedDRA: Ear pain, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Sinus pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-09-13 | Moderna | No |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Yes, but not for today. I waited two days to sign up for vsafe, and by then my symptoms were gone. But within 16 hours of vaccine I had severe body aches, mild headache, lethargy and fever of 100.8. But all resolved within 24 hours. I did not see a way to enter symptoms for previous days.
Release 8 — 3 months, dose 2
Symptoms: Diverticulitis and colitis in the splenic flexure.
Release 10 — day 14, dose 3
Symptoms: Slight fever for two days
Release 11 — 3 months, dose 3
Symptoms: Cold like symptoms, runny nose, sore throat, fatigue, headache.
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 | Diverticulitis | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release