5E2-19135-79189
2 vaccinations
7 coded responses
27 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 454 / OH
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: I believe these symptoms are related to starting my period today, not the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workFree text: Again, not sure if symptoms are related to vaccine or my menstrual cycle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-13
- 2021-01-20
- 2021-01-27
- 2021-02-04
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2021-02-09
Dose 2 — Moderna
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: NosebleedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Muscle or body aches, Abdominal painAdult check-in
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Crohn's disease, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: The GI symptoms may be related to my Crohns disease.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-05-11
Survey response — 3 months, dose 2MedDRA: Asthenia, Chills, Fatigue, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Had a cold/upper respiratory infection and bronchitis and laryngitis for nearly 2 weeks. It took me off work with weakness and fatigue. This was 3-4wks ago. I was tested for covid to rule out despite already being vaccinated; it was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-10
Survey response — 6 months, dose 2MedDRA: Hip arthroplasty — Feeling: Fair · 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: Had a left total hip replacement 7/29/21.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-10
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 pr1 call case(s)
- 2021-08-13
- 2021-08-18
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2022-02-09
Survey response — 12 months, dose 2MedDRA: Bronchitis, Office visit, Respiratory symptom — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Symptoms: Have had bronchitis/upper respiratory symptoms multiple times over past 2 months. Currently with symtpoms again. · Healthcare visit (other): Doctor's office apptMedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
3 call center cases
2 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I believe these symptoms are related to starting my period today, not the vaccine.
Release 1 — day 7, dose 1
Systemic reaction (other): Again, not sure if symptoms are related to vaccine or my menstrual cycle.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Nosebleed
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The GI symptoms may be related to my Crohns disease.
Release 8 — 3 months, dose 2
Symptoms: Had a cold/upper respiratory infection and bronchitis and laryngitis for nearly 2 weeks. It took me off work with weakness and fatigue. This was 3-4wks ago. I was tested for covid to rule out despite already being vaccinated; it was negative.
Release 9 — 6 months, dose 2
Symptoms: Had a left total hip replacement 7/29/21.
Release 11 — 12 months, dose 2
Symptoms: Have had bronchitis/upper respiratory symptoms multiple times over past 2 months. Currently with symtpoms again.
Healthcare visit (other): Doctor's office appt
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hip arthroplasty | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Crohn's disease | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release