4BY-11926-43054
5 vaccinations
7 coded responses
43 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 028 / RI
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Chills and fever last night. Temp 100.1. Back to normal by 3 am. I feel great today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash macular — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itching on upper chest last might. Blotchy rash. I applied Ivarest cream and that relieved it. One red spot remains today, but it's not itchy..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-09-29
-
2021-11-02
Dose 3 — Moderna
- 2021-11-02
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Night sweats, Pyrexia — Feeling: Good · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Fever broke. during the night. I perspired. Woke up this am feeling much better.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have a UTIMedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-16
-
2021-11-23
Survey response — day 21, dose 3MedDRA: Balance disorder, Diarrhoea, Headache — Feeling: GoodFree text: Slight headache, balance problem, no fever, diarrhea from Friday to Sunday. All better now.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-07
- 2021-12-14
-
2022-02-01
Survey response — 3 months, dose 3MedDRA: Office visit, Retinal detachment — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Detached retina · Healthcare visit (other): Officd visitMedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-03
-
2022-04-01
Dose 4 — Moderna
- 2022-04-19
-
2022-04-22
Survey response — day 21, dose 4MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea. Lasted one day. Stomach bug circulating in extended family.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-07-01
-
2022-09-12
Dose 5 — Moderna
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-12
- 2022-10-19
- 2022-10-24
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-12 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Chills and fever last night. Temp 100.1. Back to normal by 3 am. I feel great today.
Systemic reaction (other): Itching on upper chest last might. Blotchy rash. I applied Ivarest cream and that relieved it. One red spot remains today, but it's not itchy..
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fever broke. during the night. I perspired. Woke up this am feeling much better.
Systemic reaction (other): I have a UTI
Release 10 — day 21, dose 3
Symptoms: Slight headache, balance problem, no fever, diarrhea from Friday to Sunday. All better now.
Release 11 — 3 months, dose 3
Release 11 — day 21, dose 4
Symptoms: Diarrhea. Lasted one day. Stomach bug circulating in extended family.
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 | Balance disorder | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Retinal detachment | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Night sweats | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release