52P-18258-54600
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 488 / MI
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
-
2021-03-10
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · HeadacheFree text: Mild dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-25
-
2021-03-31
Survey response — day 21, dose 1MedDRA: Cellulitis, Chills, Headache, Pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever, chills, body aches, headacheDiagnosis: cellulitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — day 28, dose 1MedDRA: Cellulitis, Nausea, Office visit, Pain, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had fever, chills, body aches, nausea. It was cellulitis in my leg. I took a seven day course of antibiotics. · Healthcare visit (other): Called my doctor's office. Since this is a reoccurring problem (the cellulitis), she called in the antibiotic for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-08
Dose 2 — Moderna
- 2021-04-14
- 2021-04-15
- 2021-04-22
-
2021-04-29
Survey response — day 21, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Survey response — day 28, dose 2MedDRA: Cellulitis, Chills, Office visit, Pain, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fever, chills, body aches. I have a history of cellulitis. This is the second time I'm down with this in a month's time. · Healthcare visit (other): Saw doctor last week and she prescribed antibiotics in case I had a relapseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
-
2022-04-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-10
Survey response — 12 months, dose 2MedDRA: Cough, Malaise, Respiratory tract congestion — Feeling: GoodFree text: Cough, congestion, general malaiseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Mild dizziness
Release 6 — day 21, dose 1
Symptoms: Fever, chills, body aches, headacheDiagnosis: cellulitis
Release 7 — day 28, dose 1
Symptoms: I had fever, chills, body aches, nausea. It was cellulitis in my leg. I took a seven day course of antibiotics.
Healthcare visit (other): Called my doctor's office. Since this is a reoccurring problem (the cellulitis), she called in the antibiotic for me.
Release 8 — day 21, dose 2
Symptoms: Diarrhea
Release 8 — day 28, dose 2
Symptoms: Fever, chills, body aches. I have a history of cellulitis. This is the second time I'm down with this in a month's time.
Healthcare visit (other): Saw doctor last week and she prescribed antibiotics in case I had a relapse
Release 11 — 12 months, dose 2
Symptoms: Cough, congestion, general malaise
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 | Cellulitis | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release