4NK-13342-49213
5 vaccinations
7 coded responses
49 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 430 / OH
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Pain in jaw, Tongue discomfort — Feeling: GoodFree text: Right jaw hurt tongue felt like when u eat too many chipsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
-
2021-02-24
Survey response — day 14, dose 1MedDRA: Pre-existing disease, Pulmonary congestion — Feeling: FairFree text: Right lung minor congestion..but I have asthma..lasted two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-24
Survey response — day 14, dose 2MedDRA: Asthma, Gastrooesophageal reflux disease, Pre-existing disease — Feeling: FairFree text: Had prolonged (several hours) asthma attack yesterday..probably due to acid reflux issues for two days..better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal discomfort, Chills, Condition aggravated, Pre-existing disease, Pyrexia — Feeling: GoodFree text: I did have fever chills upset stomach yesterday..it appeared to have started an episode of diverticulousisMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal distension, Abdominal pain — Feeling: GoodFree text: Feeling much better abdominal bloating and cramping goneMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
-
2022-01-25
Survey response — 3 months, dose 3MedDRA: COVID-19, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had Covid · Healthcare visit (other): At home testMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-04
-
2022-02-04
Call successfulDoes not wish to fill out VAERS report
- 2022-04-26
-
2022-04-27
Dose 4 — Moderna
- 2022-05-19
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-07-27
-
2022-09-26
Dose 5 — Moderna
- 2022-10-22
- 2022-10-24
- 2022-10-31
- 2022-11-07
-
2022-12-26
Survey response — 3 months, dose 5MedDRA: Cough, Nasopharyngitis, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold congestion fever of 103.6 for multiple days cough that lingersMedDRA releases: 2024-11 · check-in free text available
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-27 | Moderna | No |
| 5 | 2022-09-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Right jaw hurt tongue felt like when u eat too many chips
Release 4 — day 14, dose 1
Symptoms: Right lung minor congestion..but I have asthma..lasted two days
Release 6 — day 14, dose 2
Symptoms: Had prolonged (several hours) asthma attack yesterday..probably due to acid reflux issues for two days..better today
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I did have fever chills upset stomach yesterday..it appeared to have started an episode of diverticulousis
Systemic reaction (other): Feeling much better abdominal bloating and cramping gone
Release 11 — 3 months, dose 3
Release 12 — 3 months, dose 5
Symptoms: Cold congestion fever of 103.6 for multiple days cough that lingers
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 | Asthma | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pulmonary congestion | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Abdominal distension | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Tongue discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release