535-10062-18665
5 vaccinations
5 coded responses
50 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 207 / MD
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
- 2021-01-22
- 2021-01-23
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: No more than normal mild achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
-
2021-02-02
Survey response — day 14, dose 1MedDRA: Erythema, Feeling hot — Feeling: GoodFree text: Appeared yesterday a little lower than the injection site a little redness and warm to the touch appeared I had just taken a shower so I put some Benadryl cream and CereaVe on it and seems to be better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
-
2021-02-16
Survey response — day 28, dose 1MedDRA: Vertigo — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I couldnt make my visit for the second shot as I have developed a bad case of Vertigo and would like to be contacted for another appointment for me and my husband (b)(6) as he had to drive me to (b)(6) Hospital for treatmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-04
-
2021-08-24
Survey response — 6 months, dose 2MedDRA: Nasal disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Nasal problems · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
-
2021-10-26
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-18
- 2021-11-23
- 2021-12-01
- 2021-12-07
- 2022-01-25
-
2022-04-22
Dose 4 — Moderna
- 2022-04-26
- 2022-05-18
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-09-07
Dose 5 — ModernaCo-administered: Flu
- 2022-09-17
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-12-07
-
2023-03-10
Survey response — 6 months, dose 5MedDRA: Office visit, Rotator cuff syndrome, Shoulder operation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-10
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-14
- 2023-03-14
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-09-07 | Moderna | Flu |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): No more than normal mild aches
Release 3 — day 14, dose 1
Symptoms: Appeared yesterday a little lower than the injection site a little redness and warm to the touch appeared I had just taken a shower so I put some Benadryl cream and CereaVe on it and seems to be better now.
Release 4 — day 28, dose 1
Symptoms: I couldnt make my visit for the second shot as I have developed a bad case of Vertigo and would like to be contacted for another appointment for me and my husband (b)(6) as he had to drive me to (b)(6) Hospital for treatment
redacted (b)(6)
Release 9 — 6 months, dose 2
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Nasal disorder | ✓ | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SD | Shoulder operation | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release