57P-29427-19486
4 vaccinations
5 coded responses
24 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 183 / PA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 2 — Moderna
-
2021-02-27
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Site: Pain · FeverFree text: Fever spiked after I answered survey yesterday and has now returned to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-03-27
Survey response — day 28, dose 2MedDRA: Abdominal discomfort, Chills, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: On 3/25 I had abdominal discomfort and spiked a fever of 100.1 with chills. The fever resolved overnight. Today the abdominal discomfort is nearly gone. · Healthcare visit (other): This morning I had a Covid test and Im waiting for the results.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-03
- 2021-04-10
-
2021-05-29
Survey response — 3 months, dose 2MedDRA: Bell's palsy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Bells palsyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-29
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-28
Survey response — 6 months, dose 2MedDRA: Bell's palsy, Emergency care, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Bells palsy diagnosed May 19, 2021. Emergency room due to previous stroke. Prednisone prescribed. Recovery was complete and fast.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
-
2021-09-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-11-09
Dose 3 — Moderna
- 2022-02-27
-
2022-04-22
Dose 4 — Moderna
-
2022-04-29
Survey response — day 7, dose 4MedDRA: Sinusitis — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
- 2022-10-21
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Fever spiked after I answered survey yesterday and has now returned to normal
Release 6 — day 28, dose 2
Symptoms: On 3/25 I had abdominal discomfort and spiked a fever of 100.1 with chills. The fever resolved overnight. Today the abdominal discomfort is nearly gone.
Healthcare visit (other): This morning I had a Covid test and Im waiting for the results.
Release 8 — 3 months, dose 2
Symptoms: Bells palsy
Release 9 — 6 months, dose 2
Symptoms: Bells palsy diagnosed May 19, 2021. Emergency room due to previous stroke. Prednisone prescribed. Recovery was complete and fast.
Release 11 — day 7, dose 4
Systemic reaction (other): Sinus infection
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Bell's palsy | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release