4G8-30864-92846
5 vaccinations
7 coded responses
40 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 974 / OR
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
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2021-02-18
Survey response — day 21, dose 1MedDRA: Diarrhoea, Feeling cold, Headache, Lethargy — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2/11/21 bad headache. 2/12/21 severe diarrhea for about 5 hours, lethargy, and chilly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Dose 2 — Moderna
- 2021-02-25
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Lethargy — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetite, lethargyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Site: PainFree text: Short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-02
- 2021-04-08
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2021-05-27
Survey response — 3 months, dose 2MedDRA: Lichen sclerosus, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Leichen Sclerosus diagnosis · Healthcare visit (other): Gynecological healthcare consultation visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cataract surgery planned for 9/21/21MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-01
Dose 3 — Moderna
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2022-02-25
Survey response — 12 months, dose 2MedDRA: Cough, Dyspnoea, Fatigue, Headache, Malaise, Pain, Sneezing, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I can't remember when you last checked in. From around Dec 28 to the end of January I was sick. Cough sneezing fatigue aches headache shortness of breath · Healthcare visit (other): Twice. About two weeks apart.MedDRA releases: 2024-11 · check-in free text available
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2022-02-25
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-28
-
2022-03-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-06-07
Dose 4 — Moderna
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2022-10-20
Dose 5 — ModernaCo-administered: Flu
- 2022-10-20
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2022-10-21
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesAdult check-in
-
2022-10-22
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2022-10-24
Survey response — days 1–6 daily, dose 5MedDRA: Erythema, Fatigue, Lethargy, Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: The red spot on my I head too. Site is very large. 5 x 3 inches. I've had vague tiredness. Lethargy. But my arm has been a problem.MedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-10-26
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-26
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-06-07 | Moderna | No |
| 5 | 2022-10-20 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 21, dose 1
Symptoms: 2/11/21 bad headache. 2/12/21 severe diarrhea for about 5 hours, lethargy, and chilly.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite, lethargy
Systemic reaction (other): Short of breath
Release 8 — 3 months, dose 2
Symptoms: Leichen Sclerosus diagnosis
Healthcare visit (other): Gynecological healthcare consultation visit
Release 9 — 6 months, dose 2
Symptoms: Cataract surgery planned for 9/21/21
Release 11 — 12 months, dose 2
Symptoms: I can't remember when you last checked in. From around Dec 28 to the end of January I was sick. Cough sneezing fatigue aches headache shortness of breath
Healthcare visit (other): Twice. About two weeks apart.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): The red spot on my I head too. Site is very large. 5 x 3 inches. I've had vague tiredness. Lethargy. But my arm has been a problem.
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Lichen sclerosus | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release