4NG-18295-66078
4 vaccinations
6 coded responses
35 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Abdominal painAdult check-in
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: GoodFree text: Ringing in left earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-26
Survey response — day 14, dose 1MedDRA: Injection site erythema, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 2x2 inch redness at site of injection noticed on day 10 after infection. Then on day 14. 3x3 redness. No fever and no infection. Checked out at Doctor and reassuredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-05
-
2021-03-10
Dose 2 — Moderna
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Arthralgia, Ear pain, Headache, Myalgia, Oesophageal pain — Feeling: Good · Site: Redness · Be unable to do your normal daily activitiesFree text: Yes, 12 hrs after getting the injection suffered headache joint and muscle pain ear ache and lastly very bad upper abdominal and esophygeal pain unresolved by antacids... all ok by 10pm last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Redness, ItchingFree text: All in all good and thankfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: RednessFree text: No .....thanks!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
- 2021-09-08
-
2021-11-09
Dose 3 — Other-Unknown
- 2022-03-10
-
2022-04-26
Dose 4 — Pfizer-BioNTech
- 2022-04-28
- 2022-04-30
-
2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-10
- 2022-05-20
- 2022-05-24
- 2022-05-31
- 2022-06-09
- 2022-07-26
- 2022-10-25
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-11-09 | Other-Unknown | No |
| 4 | 2022-04-26 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Ringing in left ear
Release 4 — day 14, dose 1
Symptoms: 2x2 inch redness at site of injection noticed on day 10 after infection. Then on day 14. 3x3 redness. No fever and no infection. Checked out at Doctor and reassured
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Yes, 12 hrs after getting the injection suffered headache joint and muscle pain ear ache and lastly very bad upper abdominal and esophygeal pain unresolved by antacids... all ok by 10pm last night
Systemic reaction (other): All in all good and thankful
Systemic reaction (other): No .....thanks!
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): None
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oesophageal pain | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release