57X-29580-28438
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 191 / PA
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-03-07
Registered in v-safe
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
-
2021-03-27
Survey response — day 21, dose 1MedDRA: Diarrhoea, Muscle spasms — Feeling: GoodFree text: Loose bowels & cramping for about 24-36 hours, earlier this week, but extremely likely that it was triggered by something eaten.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Dose 2 — Moderna
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
-
2021-10-02
Survey response — 6 months, dose 2MedDRA: Spinal operation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: UN-related to covid, I recently had spinal surgery, x 2. NO issues at all regarding covid. My apologies if you are not referring to all health conditions. · Healthcare visit (other): Spinal surgeryMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2021-10-04
-
2022-04-03
Survey response — 12 months, dose 2MedDRA: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: just a cold/runny nose, slight cough, about a month ago.... had 2 covid tests just in case/both NEGATIVEMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 21, dose 1
Symptoms: Loose bowels & cramping for about 24-36 hours, earlier this week, but extremely likely that it was triggered by something eaten.
Release 9 — 6 months, dose 2
Symptoms: UN-related to covid, I recently had spinal surgery, x 2. NO issues at all regarding covid. My apologies if you are not referring to all health conditions.
Healthcare visit (other): Spinal surgery
Release 11 — 12 months, dose 2
Symptoms: just a cold/runny nose, slight cough, about a month ago.... had 2 covid tests just in case/both NEGATIVE
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 | Spinal operation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Spinal operation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release