4JN-14790-47120
4 vaccinations
8 coded responses
45 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 442 / OH
- Registered
- 2021-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-01
Registered in v-safe
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-13
- 2021-01-21
-
2021-01-26
Dose 2 — Moderna
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mid back and bilateral hip pain, 6 on scale of 0 to 10MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-04-29
Survey response — 3 months, dose 2MedDRA: Headache, Rhinorrhoea, SARS-CoV-2 test negative, Seasonal allergy — Feeling: GoodFree text: Headache and runny nose, tested for COVID and it was negative. I do have seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-27
-
2021-10-23
Dose 3 — Moderna
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-26
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-08
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
-
2022-01-22
Survey response — 3 months, dose 3MedDRA: Arthralgia, Nasal congestion, Oropharyngeal pain — Feeling: GoodFree text: Nasal congestion, sore throat, joint painMedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Dose 4 — Moderna
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-23
-
2022-04-29
Survey response — day 14, dose 4MedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Barking sounding cough, nasal drainageMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Survey response — day 21, dose 4MedDRA: Bronchitis — Feeling: FairFree text: BronchitisMedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Survey response — day 28, dose 4MedDRA: Bronchitis, Lung consolidation, Mass, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bronchitis, Now I need a CT scan for a consolidation /mass · Healthcare visit (other): PcpMedDRA releases: 2024-11 · check-in free text available
-
2022-05-13
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-20
- 2022-05-27
- 2022-07-15
-
2022-10-14
Survey response — 6 months, dose 4MedDRA: Pre-existing disease — Feeling: Good · Be unable to work or attend schoolFree text: I had a Thyroidectomy for papillary carcinoma. I believe it was there before the Covid vaccines. I had the first ultrasound in 2017 the show growths on my thyroidMedDRA releases: 2024-11 · check-in free text available
-
2023-04-17
Survey response — 12 months, dose 4MedDRA: Appendicitis, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-04-17
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2023-04-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Mid back and bilateral hip pain, 6 on scale of 0 to 10
Release 8 — 3 months, dose 2
Symptoms: Headache and runny nose, tested for COVID and it was negative. I do have seasonal allergies.
Release 11 — 3 months, dose 3
Symptoms: Nasal congestion, sore throat, joint pain
Release 11 — day 14, dose 4
Symptoms: Barking sounding cough, nasal drainage
Release 11 — day 21, dose 4
Symptoms: Bronchitis
Release 11 — day 28, dose 4
Symptoms: Bronchitis, Now I need a CT scan for a consolidation /mass
Healthcare visit (other): Pcp
Release 12 — 6 months, dose 4
Symptoms: I had a Thyroidectomy for papillary carcinoma. I believe it was there before the Covid vaccines. I had the first ultrasound in 2017 the show growths on my thyroid
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 | Surgery | · | · | ✓ |
| SD | Appendicitis | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lung consolidation | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release