4AW-19605-51352
4 vaccinations
8 coded responses
44 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 031 / NH
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-19
Survey response — day 14, dose 1MedDRA: Chills — Feeling: GoodFree text: Cold chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-20
Survey response — day 14, dose 2MedDRA: Pain, Pain in extremity — Feeling: GoodFree text: In late afternoons am experiencing some pain on the ball of my right foot when I walk or put pressure on the ball of my right foot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
-
2021-10-26
Dose 3 — Moderna
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease, Toothache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Since getting booster have very bad toothaches where had recent dental work done.hesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Procedural site reaction, Toothache — Feeling: GoodFree text: Still have intermittent severe tooth pain where recently had dental procedures done.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Dental operation, Toothache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Still have some toothache pain where I recently had dental work done; will be seeing dentist tomorrow. Pain began same day I got my booster vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Endodontic procedure, Gingival pain, Office visit, Toothache — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Still having some tooth & gum pain. Saw my dentist today who says it could be side effect of root canal I had beginning of October but she's not totally sure yet. · Healthcare visit (other): Had an appointment with my dentist. May have to go back to my endodontist. Not sure yet.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-02
Survey response — day 7, dose 3MedDRA: Office visit, Toothache — Feeling: GoodFree text: My painful toothache is better today following my visit to my dentist yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-03-30
Dose 4 — Moderna
- 2022-04-19
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-06-29
-
2022-09-28
Survey response — 6 months, dose 4MedDRA: Bladder pain, Cough, Discomfort, Middle insomnia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: A lingering dry cough and bladder pressure and pain with wakening at night to urinate. · Healthcare visit (other): Urine test and appointment with primary care doctor and will see urologist soon.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-29
- 2022-09-29
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: Cold chills
Release 6 — day 14, dose 2
Symptoms: In late afternoons am experiencing some pain on the ball of my right foot when I walk or put pressure on the ball of my right foot.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Since getting booster have very bad toothaches where had recent dental work done.hes
Systemic reaction (other): Still have intermittent severe tooth pain where recently had dental procedures done.
Systemic reaction (other): Still have some toothache pain where I recently had dental work done; will be seeing dentist tomorrow. Pain began same day I got my booster vaccine.
Systemic reaction (other): Still having some tooth & gum pain. Saw my dentist today who says it could be side effect of root canal I had beginning of October but she's not totally sure yet.
Healthcare visit (other): Had an appointment with my dentist. May have to go back to my endodontist. Not sure yet.
Release 10 — day 7, dose 3
Systemic reaction (other): My painful toothache is better today following my visit to my dentist yesterday.
Release 12 — 6 months, dose 4
Symptoms: A lingering dry cough and bladder pressure and pain with wakening at night to urinate.
Healthcare visit (other): Urine test and appointment with primary care doctor and will see urologist soon.
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 | Bladder pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Middle insomnia | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Dental operation | · | · | ✓ |
| SRO | Endodontic procedure | · | · | ✓ |
| SRO | Gingival pain | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Procedural site reaction | · | · | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release