56A-29532-92958
5 vaccinations
7 coded responses
53 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 470 / IN
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-05
Registered in v-safe
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
-
2021-03-31
Survey response — day 0, dose 2MedDRA: Fatigue, Feeling abnormal — Feeling: GoodFree text: Super tired and brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Just feeling blah. Oura ring suggested a rest day, it noted temp up at night higher than usual, respiratory up a little tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — day 21, dose 2MedDRA: Diarrhoea, Gastroenteritis viral, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Think it stems from stomach bug going around at my sons school, dont think related to shot. Vomiting, diaharreaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-07-02
- 2021-10-01
-
2021-11-15
Dose 3 — Moderna
- 2022-03-31
-
2022-05-18
Dose 4 — Moderna
-
2022-05-18
Survey response — day 0, dose 4MedDRA: Fatigue, Feeling hot, Headache, Insomnia — Feeling: Good · Headache, Fatigue or tirednessFree text: I didn't sleep much last night so headache tired May be that. I did feel warm but no fever for first hour after vacinne today.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-06-01
- 2022-06-08
-
2022-06-15
Survey response — day 28, dose 4MedDRA: Respiratory tract congestion, Sinus disorder, Upper-airway cough syndrome — Feeling: GoodFree text: Sinus related issues (cough caused by post nasal drip from congestion). Currently traveling if different climate think it stirred up allergies.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-22
Survey response — day 35, dose 4MedDRA: Office visit, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I've got a bad sinus infection. I did take W negative Covid tests this past Saturday and on Monday. · Healthcare visit (other): In doc office to get antibiotics for sinus infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-06-22
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-06-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-29
- 2022-08-17
-
2022-11-09
Dose 5 — Moderna
- 2022-11-09
-
2022-11-10
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: GoodFree text: Any pain near injection site so slight didn't say yes above. That's all.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2022-12-14
- 2022-12-21
- 2023-02-08
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-05-18 | Moderna | No |
| 5 | 2022-11-09 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Super tired and brain fog
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Just feeling blah. Oura ring suggested a rest day, it noted temp up at night higher than usual, respiratory up a little too
Release 7 — day 21, dose 2
Symptoms: Think it stems from stomach bug going around at my sons school, dont think related to shot. Vomiting, diaharrea
Release 11 — day 0, dose 4
Systemic reaction (other): I didn't sleep much last night so headache tired May be that. I did feel warm but no fever for first hour after vacinne today.
Release 12 — day 28, dose 4
Symptoms: Sinus related issues (cough caused by post nasal drip from congestion). Currently traveling if different climate think it stirred up allergies.
Release 12 — day 35, dose 4
Symptoms: I've got a bad sinus infection. I did take W negative Covid tests this past Saturday and on Monday.
Healthcare visit (other): In doc office to get antibiotics for sinus infection
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Any pain near injection site so slight didn't say yes above. That's all.
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 | · | · | ✓ |
| HCVO | Sinusitis | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ○ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release