5A6-27384-76380
5 vaccinations
5 coded responses
45 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 458 / OH
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-14
Dose 2 — Moderna
- 2021-03-14
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
-
2021-03-28
Survey response — day 14, dose 2MedDRA: Injection site erythema, Injection site pain, Injection site rash, Injection site warmth — Feeling: GoodFree text: 2.5-3 round red rash near the sight of injection about 8 days after 2nd shot. Third day the site became warm with a burning sensation. No itching. Took Benadryl at night and topical steroid cream on site. That lasted 2 days. Rash is fadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Survey response — day 21, dose 2MedDRA: Rash pruritic — Feeling: GoodFree text: This is probably not vaccine related but 3 weeks after first shot I got a itchy rash around my ankles. Got a medicated cream from dr and it went away. Then 3 weeks after the second shot I got the same rash around my ankles. No big deal, just oddMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-06-13
- 2021-09-12
-
2021-11-05
Dose 3 — Moderna
-
2022-03-17
Survey response — 12 months, dose 2MedDRA: Abdominal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stomach soreness when I eatMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Dose 4 — Moderna
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-01
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-05
- 2022-05-06
- 2022-05-13
-
2022-05-20
Survey response — day 21, dose 4MedDRA: Abdominal pain upper, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Stomach pain.. I don't think it is due to vaccine but ulcers. · Healthcare visit (other): EndoscopyMedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-29
- 2022-06-03
- 2022-06-10
-
2022-07-29
Survey response — 3 months, dose 4MedDRA: Alopecia — Feeling: GoodFree text: Extreme hair loss.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-17
Dose 5 — Moderna
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-12-17
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-14 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
| 5 | 2022-09-17 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 14, dose 2
Symptoms: 2.5-3 round red rash near the sight of injection about 8 days after 2nd shot. Third day the site became warm with a burning sensation. No itching. Took Benadryl at night and topical steroid cream on site. That lasted 2 days. Rash is fad
Release 6 — day 21, dose 2
Symptoms: This is probably not vaccine related but 3 weeks after first shot I got a itchy rash around my ankles. Got a medicated cream from dr and it went away. Then 3 weeks after the second shot I got the same rash around my ankles. No big deal, just odd cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Stomach soreness when I eat
Release 11 — day 21, dose 4
Symptoms: Stomach pain.. I don't think it is due to vaccine but ulcers.
Healthcare visit (other): Endoscopy
Release 12 — 3 months, dose 4
Symptoms: Extreme hair loss.
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release