4DL-87164-26649
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 554 / MN
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Moderna
- 2021-02-23
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
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2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-02
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-10
-
2021-03-16
Survey response — day 21, dose 1MedDRA: Diarrhoea, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, diarrhea, bodyachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 28, dose 1MedDRA: Back pain, Diarrhoea, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, diarrhea, sore back. LpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Dose 2 — Moderna
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-25
- 2021-05-01
-
2021-05-08
Survey response — day 42, dose 2MedDRA: Abdominal pain upper — Feeling: Good · Be unable to do your normal daily activitiesFree text: Lower stomach cramping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-27
Survey response — 3 months, dose 2MedDRA: Food poisoning, Headache, Nasopharyngitis, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Headache for a couple of days. Also felt like had food poisoning but didn't. Couldn't keep anything in for a week, now a bad viral cold and a lot of food doesn't sit well. · Healthcare visit (other): Drs office in clinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-27
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-01
- 2021-09-25
-
2022-03-27
Survey response — 12 months, dose 2MedDRA: Pre-existing disease, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Allergies and asthma, occasionally I would have the sniffles for 1-2 days after cleaning dusty roomsmowed. I went from using my enhaler, maybe 1-2 times a month to some days 1-3 times a day, it wasnt too bad, I have had the sniffles for 2 months.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-27 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 21, dose 1
Symptoms: Headache, diarrhea, bodyaches
Release 6 — day 28, dose 1
Symptoms: Sore throat, diarrhea, sore back. Lp
Release 8 — day 42, dose 2
Symptoms: Lower stomach cramping.
Release 9 — 3 months, dose 2
Symptoms: Headache for a couple of days. Also felt like had food poisoning but didn't. Couldn't keep anything in for a week, now a bad viral cold and a lot of food doesn't sit well.
Healthcare visit (other): Drs office in clinic
Release 11 — 12 months, dose 2
Symptoms: Allergies and asthma, occasionally I would have the sniffles for 1-2 days after cleaning dusty roomsmowed. I went from using my enhaler, maybe 1-2 times a month to some days 1-3 times a day, it wasnt too bad, I have had the sniffles for 2 months. cut off by CDC
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Food poisoning | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release