4K4-20475-28898
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 597 / MT
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-10
- 2021-03-17
-
2021-03-24
Survey response — day 21, dose 1MedDRA: Sneezing, Throat irritation — Feeling: GoodFree text: A scratchy throat and I sneezed a whole bunch of times, probably allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Survey response — 3 months, dose 1MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My Ménières disease is bad, and some foods do not taste good to me anymoreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-01
Survey response — 6 months, dose 1MedDRA: Cough, Headache, Oropharyngeal pain, Unevaluable event — 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 professionalFree text: Symptoms: In June I had the worst sore throat, cough and headache of my life. My husband had also difficulty breathing and couldnt lay down with it. Both my husband and I had it and it couldve been the Delta variant??? · Healthcare visit (other): I am an RN so we took care of it at home, but my husband should have gone to the hospital but he refused .MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-01
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 6 — day 21, dose 1
Symptoms: A scratchy throat and I sneezed a whole bunch of times, probably allergies
Release 8 — 3 months, dose 1
Symptoms: My Ménières disease is bad, and some foods do not taste good to me anymore
Release 9 — 6 months, dose 1
Symptoms: In June I had the worst sore throat, cough and headache of my life. My husband had also difficulty breathing and couldnt lay down with it. Both my husband and I had it and it couldve been the Delta variant???
Healthcare visit (other): I am an RN so we took care of it at home, but my husband should have gone to the hospital but he refused .
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 | Cough | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release