4RC-16785-61405
5 vaccinations
11 coded responses
53 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 441 / OH
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-03-13
Dose 2 — Moderna
-
2021-03-16
Registered in v-safe
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Pyrexia — Feeling: Fair · Fatigue or tirednessFree text: At about 6am on 3-14-21, I experienced fatigue, chills, a fever that reached 101 and a slight headache. The fever subsided by late evening on 3-14-21. I experienced chills and fatigue on 3-15-21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-19
-
2021-03-22
Survey response — day 7, dose 2MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Good · Fatigue or tirednessFree text: On 3/18/21 - 3/21/21, I was really exhausted. I was falling asleep in my evening class 3/18/21 and I have been sleeping a minimum of 10 hours. With the extra sleep, my daily activities are fine, yet without the extra sleep, an hour nap is 4-5 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
-
2021-04-10
Survey response — day 28, dose 2MedDRA: Vaginal haemorrhage — Feeling: FairFree text: I've experienced light vaginal spotting this week. My last menstrual cycle occurred in 2012, I have doctor monitored fibroids due to a history of fibroids, endometriosis & surgeries. I read some women have had menstrual changes after the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-25
- 2021-06-12
- 2021-09-13
-
2021-11-09
Dose 3 — Moderna
- 2021-11-09
-
2021-11-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Uterine leiomyoma, Vaginal haemorrhage — Feeling: Fair · Fatigue or tirednessFree text: Vaginal spotting which has occurred every month since my second shot 3-13-2021. I have not had a menstrual cycle since 2012, yet I do have a uterine fibroid.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-23
-
2021-12-02
Survey response — day 21, dose 3MedDRA: Asthma, Cough, Dyspnoea, Facial pain, Fatigue, Headache, Hypersomnia, Lymphadenopathy, Middle ear effusion, Oropharyngeal pain, Pre-existing disease, Respiratory tract congestion, Sinusitis, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infection, fluid in both ears, and exacerbated asthma - headache, tiredness, excessive sleeping, post-nasal drip, shortness of breath, cough, facial pain, congestion, swollen glands, mild sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Report sent to call center — day 21, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-06
-
2021-12-07
Survey response — day 28, dose 3MedDRA: Asthma, Dyspnoea, Ear congestion, Fatigue, Laryngitis, Sinus disorder, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend schoolFree text: Laryngitis, tiredness, post-nasal drip, ears feel waterlogged (sinus and asthma symptoms and shortness of breath are slowly improving)MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
-
2021-12-22
Survey response — day 42, dose 3MedDRA: Menstruation irregular, Vaginal haemorrhage — Feeling: FairFree text: I am spotting again. The spotting is a monthly occurrence since I received the vaccine. I have not had a menstrual cycle since 2012.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-09
-
2022-06-10
Dose 4 — Moderna
-
2022-06-10
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-06-11
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-06-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-06-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Fever · Headache, Fatigue or tirednessAdult check-in
-
2022-06-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
- 2022-06-16
- 2022-06-17
- 2022-06-25
- 2022-07-02
- 2022-07-08
- 2022-07-16
- 2022-07-23
- 2022-09-10
-
2022-11-10
Dose 5 — ModernaCo-administered: Flu
-
2022-11-10
Health check-in — day 0, dose 5Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-11-11
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Please correct the date of Covid-19 & flu vaccines to 11-9-22MedDRA releases: 2024-11 · check-in free text available
-
2022-11-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tirednessAdult check-in
-
2022-11-13
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Fatigue or tirednessAdult check-in
-
2022-11-14
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-11-15
-
2022-11-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
-
2022-11-17
Survey response — day 7, dose 5MedDRA: Rash, Rash erythematous — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I noticed the rash a few days ago on and under my right breast. My flu shot was given in my right arm and the Covid booster was given in my left arm. There is no pain, just the red rash.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-24
- 2022-12-01
-
2022-12-08
Survey response — day 28, dose 5MedDRA: Cough, Headache, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: Cough and severe headache yet I believe this mat be due to sinus issues. I took a COVID test 12-06-22 that was negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Survey response — day 35, dose 5MedDRA: Asthma, Pre-existing disease, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus problems and asthma flare-upMedDRA releases: 2024-11 · check-in free text available
-
2022-12-24
Health check-in — day 42, dose 5Feeling: GoodFree text: Sinusitis and asthma flare-up due possibly due to frigid temperaturesAdult check-in · check-in free text available
- 2023-02-10
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-06-10 | Moderna | No |
| 5 | 2022-11-10 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): At about 6am on 3-14-21, I experienced fatigue, chills, a fever that reached 101 and a slight headache. The fever subsided by late evening on 3-14-21. I experienced chills and fatigue on 3-15-21.
Release 6 — day 7, dose 2
Systemic reaction (other): On 3/18/21 - 3/21/21, I was really exhausted. I was falling asleep in my evening class 3/18/21 and I have been sleeping a minimum of 10 hours. With the extra sleep, my daily activities are fine, yet without the extra sleep, an hour nap is 4-5 hours.
Release 7 — day 28, dose 2
Symptoms: I've experienced light vaginal spotting this week. My last menstrual cycle occurred in 2012, I have doctor monitored fibroids due to a history of fibroids, endometriosis & surgeries. I read some women have had menstrual changes after the vaccine
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Vaginal spotting which has occurred every month since my second shot 3-13-2021. I have not had a menstrual cycle since 2012, yet I do have a uterine fibroid.
Release 10 — day 21, dose 3
Symptoms: Sinus infection, fluid in both ears, and exacerbated asthma - headache, tiredness, excessive sleeping, post-nasal drip, shortness of breath, cough, facial pain, congestion, swollen glands, mild sore throat
Release 10 — day 28, dose 3
Symptoms: Laryngitis, tiredness, post-nasal drip, ears feel waterlogged (sinus and asthma symptoms and shortness of breath are slowly improving)
Release 10 — day 42, dose 3
Symptoms: I am spotting again. The spotting is a monthly occurrence since I received the vaccine. I have not had a menstrual cycle since 2012.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Please correct the date of Covid-19 & flu vaccines to 11-9-22
Release 12 — day 7, dose 5
Systemic reaction (other): I noticed the rash a few days ago on and under my right breast. My flu shot was given in my right arm and the Covid booster was given in my left arm. There is no pain, just the red rash.
Release 12 — day 28, dose 5
Symptoms: Cough and severe headache yet I believe this mat be due to sinus issues. I took a COVID test 12-06-22 that was negative.
Release 12 — day 35, dose 5
Symptoms: Sinus problems and asthma flare-up
Release 12 — day 42, dose 5
Symptoms: Sinusitis and asthma flare-up due possibly due to frigid temperatures
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 | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Facial pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash erythematous | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Uterine leiomyoma | · | · | ✓ |
| SRO | Vaginal haemorrhage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release