4S6-27682-57860
5 vaccinations
5 coded responses
45 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 329 / FL
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Faeces discoloured — Feeling: Good · Site: Pain · DiarrheaFree text: Loose bowels but just soft. An unusual sage color. Not sure if it is vaccine caused but only since shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-09
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-04-02
- 2021-04-18
- 2021-06-04
- 2021-09-03
-
2021-10-30
Dose 3 — Moderna
-
2021-10-30
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Good · Site: PainFree text: At almost 78 with arthritis I always have joint pain. No different from normal.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-05
- 2021-11-08
-
2021-11-20
Survey response — day 21, dose 3MedDRA: Joint noise, Oedema peripheral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My left knee is crunching and has cap fluid. My rheumatologist is working with me on it.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-27
Survey response — day 28, dose 3MedDRA: Staphylococcal infection, Urinary tract infection, Urine analysis abnormal — Feeling: GoodFree text: Found that I have a continuing UTI even right after 10 days of antibiotics for staph showing up on a urinalysis. Will be calling my primary doctor Monday.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-06
- 2021-12-11
- 2022-01-29
-
2022-04-11
Dose 4 — Moderna
- 2022-04-19
- 2022-04-25
- 2022-05-02
- 2022-05-16
- 2022-07-11
-
2022-09-17
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-17
- 2022-09-18
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-12-17
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-09-17 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Loose bowels but just soft. An unusual sage color. Not sure if it is vaccine caused but only since shot.
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): At almost 78 with arthritis I always have joint pain. No different from normal.
Release 10 — day 21, dose 3
Symptoms: My left knee is crunching and has cap fluid. My rheumatologist is working with me on it.
Release 10 — day 28, dose 3
Symptoms: Found that I have a continuing UTI even right after 10 days of antibiotics for staph showing up on a urinalysis. Will be calling my primary doctor Monday.
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 | Joint noise | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Staphylococcal infection | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Urine analysis abnormal | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Faeces discoloured | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release