4UH-30907-04253
5 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Fatigue or tirednessAdult check-in
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fever · NoneAdult check-in
- 2021-01-28
-
2021-01-30
Survey response — day 7, dose 1MedDRA: Injection site rash — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Rash, not including the immediate area around the injection siteFree text: The rash spreads from the injection site partway down my upper armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — day 14, dose 1MedDRA: Erythema, Peripheral swelling, Pruritus, Rash — Feeling: FairFree text: Swollen arm above-elbow, red rash and itch continued from January 30 to February second. These symptoms have subsided except for occasional itch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-20
-
2021-02-21
Dose 2 — Moderna
- 2021-02-21
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-01
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-05-23
- 2021-08-22
-
2021-11-23
Dose 3 — Moderna
- 2022-02-21
-
2022-04-19
Dose 4 — Moderna
- 2022-04-28
-
2022-05-05
Survey response — day 14, dose 4MedDRA: Dizziness, Nausea, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: A bout of vertigo Tuesday 5.3.22 with serious dizziness and nausea. It has settled. Hard to believe this is about the boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — day 14, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-06
- 2022-05-10
- 2022-05-17
- 2022-05-27
- 2022-05-31
- 2022-07-19
-
2022-09-09
Dose 5 — Moderna
-
2022-10-20
Survey response — 6 months, dose 4MedDRA: Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: FairFree text: Nasal congestion, some coughing, some sneezing and runny nose. I'm calling this a coldMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): The rash spreads from the injection site partway down my upper arm
Release 3 — day 14, dose 1
Symptoms: Swollen arm above-elbow, red rash and itch continued from January 30 to February second. These symptoms have subsided except for occasional itch.
Release 11 — day 14, dose 4
Symptoms: A bout of vertigo Tuesday 5.3.22 with serious dizziness and nausea. It has settled. Hard to believe this is about the booster
Release 12 — 6 months, dose 4
Symptoms: Nasal congestion, some coughing, some sneezing and runny nose. I'm calling this a cold
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 | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release