4D7-55093-70183
3 vaccinations
6 coded responses
32 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 973 / OR
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
-
2021-01-29
Dose 2 — Moderna
- 2021-01-29
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: It started yesterday but better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-06
- 2021-02-12
- 2021-02-19
- 2021-07-30
-
2021-10-23
Dose 3 — Moderna
-
2021-10-23
Survey response — day 0, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Injection site soreMedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · NauseaFree text: Injection sight sore and maybe warmMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort — Feeling: GoodFree text: No discomfort at all today.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
-
2021-11-20
Survey response — day 28, dose 3MedDRA: Ear discomfort, Lymphadenopathy — Feeling: FairFree text: Right side of neck gland swelling and bothering my ear. Have Dr appt on Tuesday 11.23.2021MedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Survey response — day 35, dose 3MedDRA: Discomfort, Ear discomfort, Facial discomfort, Lymphadenopathy, Office visit, Sleep disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Gland n right side of neck swollen snd there is pressure in my ear & jaw causing discomfort and disturbing nightly sleep. Went to dr on 11.23.2021 had blood tests. Ultrasound scheduled for 12.20.2021. No results as of today on blood tests. · Healthcare visit (other): Made an appointmentMedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-07
- 2021-12-08
-
2021-12-08
Callback requested for03:00PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): It started yesterday but better today
Release 10 — day 0, dose 3
Systemic reaction (other): Injection site sore
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Injection sight sore and maybe warm
Systemic reaction (other): No discomfort at all today.
Release 10 — day 28, dose 3
Symptoms: Right side of neck gland swelling and bothering my ear. Have Dr appt on Tuesday 11.23.2021
Release 10 — day 35, dose 3
Symptoms: Gland n right side of neck swollen snd there is pressure in my ear & jaw causing discomfort and disturbing nightly sleep. Went to dr on 11.23.2021 had blood tests. Ultrasound scheduled for 12.20.2021. No results as of today on blood tests.
Healthcare visit (other): Made an appointment
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 | Unevaluable event | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Facial discomfort | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release