4LW-26951-30573
5 vaccinations
3 coded responses
31 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 452 / OH
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
-
2021-02-26
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body achesFree text: Too early to tell. I checked muscle aches so i could leave this comment.. I just got the 2nd dose just an hour ago. I seriously doubt that reactions to the shot show up that quickly. Ask me in a couple of days. You probably need to revise this survey, perhaps asking every day after a shot for a week, then go to the weekly request for information.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-03
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-11-23
Dose 3 — Moderna
- 2022-02-26
-
2022-04-22
Dose 4 — Moderna
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
-
2022-06-03
Survey response — day 42, dose 4MedDRA: COVID-19, Dizziness, Inner ear disorder, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Duzziness - may not be related to the covid booster. I've had a few bouts of vertigo before the covid outbreak caused by a buildup of fluid in my left inner ear.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-24
-
2022-10-24
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Oropharyngeal pain, Quarantine, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid ... coughing and sneezing and a sore throat that felt like strep. Treated with pavlovid. Confirmed with home test. Isolated until negative test. A few days later got a positive test even though I felt better.MedDRA releases: 2024-11 · check-in free text available
-
2023-04-06
Dose 5 — Moderna
- 2023-04-22
- 2023-04-22
- 2023-04-29
- 2023-05-05
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2023-04-06 | Moderna | No |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Too early to tell. I checked muscle aches so i could leave this comment.. I just got the 2nd dose just an hour ago. I seriously doubt that reactions to the shot show up that quickly. Ask me in a couple of days. You probably need to revise this survey, perhaps asking every day after a shot for a week, then go to the weekly request for information.
Release 11 — day 42, dose 4
Symptoms: Duzziness - may not be related to the covid booster. I've had a few bouts of vertigo before the covid outbreak caused by a buildup of fluid in my left inner ear.
Release 12 — 6 months, dose 4
Symptoms: Covid ... coughing and sneezing and a sore throat that felt like strep. Treated with pavlovid. Confirmed with home test. Isolated until negative test. A few days later got a positive test even though I felt better.
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Inner ear disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release