4BX-75676-13921
4 vaccinations
5 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 515 / IA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-13
- 2021-01-21
- 2021-01-27
-
2021-01-29
Dose 2 — Moderna
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-04-30
Survey response — 3 months, dose 2MedDRA: Decreased appetite, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I had nausea and low appetite for 10 days. My son had 1 day of vomiting and diarrhea 2days prior to my symptoms starting and my husband had similar symptoms as me for about 5 days or so which I think had started a few days before my son was ill.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Fatigue, Nasopharyngitis, Paranasal sinus hypersecretion, Productive cough — Feeling: FairFree text: I got a cold, sinus drainage, fatigue for the last 7days. Productive cough the last 2-3 days but I am starting to feel better.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-10
Dose 3 — Moderna
-
2022-01-29
Survey response — 12 months, dose 2MedDRA: Pain of skin, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had pain in my left scalp like trigeminal neuralgia mild-severe 2weeks, resolved after a steroid burst, then some returned after another week or so but was more mild, a few days. PDO threads put in cheeks a month prior and Booster 2mo priorMedDRA releases: 2024-11 · check-in free text available
-
2022-01-29
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-24
- 2022-03-29
-
2022-06-01
Dose 4 — Moderna
- 2022-06-24
- 2022-06-29
-
2022-07-06
Survey response — day 35, dose 4MedDRA: Balance disorder, Fatigue — Feeling: GoodFree text: For a few days I felt a little off balance and run down at timesMedDRA releases: 2024-11 · check-in free text available
- 2022-07-13
- 2022-08-31
-
2022-11-30
Survey response — 6 months, dose 4MedDRA: COVID-19, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: I had fatigue , fever, mild sore throat, COVID +MedDRA releases: 2024-11 · check-in free text available
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-06-01 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — 3 months, dose 2
Symptoms: I had nausea and low appetite for 10 days. My son had 1 day of vomiting and diarrhea 2days prior to my symptoms starting and my husband had similar symptoms as me for about 5 days or so which I think had started a few days before my son was ill.
Release 9 — 6 months, dose 2
Symptoms: I got a cold, sinus drainage, fatigue for the last 7days. Productive cough the last 2-3 days but I am starting to feel better.
Release 11 — 12 months, dose 2
Symptoms: I had pain in my left scalp like trigeminal neuralgia mild-severe 2weeks, resolved after a steroid burst, then some returned after another week or so but was more mild, a few days. PDO threads put in cheeks a month prior and Booster 2mo prior
Release 12 — day 35, dose 4
Symptoms: For a few days I felt a little off balance and run down at times
Release 12 — 6 months, dose 4
Symptoms: I had fatigue , fever, mild sore throat, COVID +
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 | Balance disorder | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain of skin | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release