4QE-31046-20421
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 293 / SC
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-28
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-08
Survey response — day 7, dose 1MedDRA: Ear pain — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Not sure if important . Saturday 2 days after vaccine I had new sore inside inner upper ear that has been painful. I've been putting g alcohol on daily. Never had this before so wanted to report thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: GoodFree text: Well exactly on 8 th day after first vaccine, the injection site swelled and was red amd hot to touch for 4 days. Also itching and I read about delayed reaction and felt better knowing that. Wish they would have warned me before receiving though .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
-
2021-05-20
Survey response — day 21, dose 2MedDRA: Chest pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Went for CT of abdomen amd pelvis may 19 th due to pain , knot in mid left chest.May be hierarchy hernia. Will find out may 21st · Healthcare visit (other): Drs officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-27
- 2021-06-03
-
2021-06-10
Survey response — day 42, dose 2MedDRA: Asthenia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I just feel much weaker than normal. No energy, less active and just not my normalSelfMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-29
- 2021-10-28
- 2022-04-28
- 2022-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Not sure if important . Saturday 2 days after vaccine I had new sore inside inner upper ear that has been painful. I've been putting g alcohol on daily. Never had this before so wanted to report that
Release 7 — day 14, dose 1
Symptoms: Well exactly on 8 th day after first vaccine, the injection site swelled and was red amd hot to touch for 4 days. Also itching and I read about delayed reaction and felt better knowing that. Wish they would have warned me before receiving though .
Release 8 — day 21, dose 2
Symptoms: Went for CT of abdomen amd pelvis may 19 th due to pain , knot in mid left chest.May be hierarchy hernia. Will find out may 21st
Healthcare visit (other): Drs office
Release 9 — day 42, dose 2
Symptoms: I just feel much weaker than normal. No energy, less active and just not my normalSelf
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 | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release