4FL-16927-88747
4 vaccinations
7 coded responses
49 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 452 / OH
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Sciatica — Feeling: Good · Muscle or body achesFree text: Already have issues with sciatic nerve.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache msy be due to sinusitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-31
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-05
- 2021-03-11
- 2021-03-19
- 2021-05-06
- 2021-08-05
-
2021-10-27
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-29
- 2021-10-30
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling under armpit of same arm where injection was given noticed yesterday evening.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling under armpit of same arm where received injection.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling under arm of injected armMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — day 7, dose 3MedDRA: Oedema peripheral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Swelling in armpit of injected arm. Went to doctor to check out. Will monitor for the next 5 weeks. · Healthcare visit (other): Visit to doctor's office.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-08
- 2021-11-12
- 2021-11-18
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-15
Dose 4 — Moderna
-
2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature increased — Feeling: Good · Site: SwellingFree text: Low-grade fever (99.7) on 4/15/2023.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-21
- 2022-05-27
- 2022-07-17
- 2022-10-14
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Already have issues with sciatic nerve.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Headache msy be due to sinusitis.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling under armpit of same arm where injection was given noticed yesterday evening.
Systemic reaction (other): Swelling under armpit of same arm where received injection.
Systemic reaction (other): Swelling under arm of injected arm
Release 10 — day 7, dose 3
Systemic reaction (other): Swelling in armpit of injected arm. Went to doctor to check out. Will monitor for the next 5 weeks.
Healthcare visit (other): Visit to doctor's office.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Low-grade fever (99.7) on 4/15/2023.
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 | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sciatica | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release