5FR-52476-91318
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 412 / KY
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-01-29
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Chills, Fatigue — Feeling: FairFree text: Just took some bad chills yesterday and a little bit of exhaustion no fever thoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — day 21, dose 1MedDRA: Blood glucose increased, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I am borderline diabetic but have noticed an increase in my sugar levels in the past 2-3weeks · Healthcare visit (other): Dr visit to check levelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
- 2021-02-25
-
2021-02-26
Dose 2 — Moderna
-
2021-02-26
Survey response — day 0, dose 2MedDRA: Visual impairment — Feeling: Good · Site: PainFree text: Eyes seem to be a little bit off like having to adjust my vision somewhatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-28
Survey response — day 28, dose 2MedDRA: Disturbance in attention — Feeling: GoodFree text: Not really new just the head and eyes thing as before just hard to really explain kinda like not really focused completely but only happens every now and againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 35, dose 2MedDRA: Headache, Visual impairment — Feeling: GoodFree text: Not really new just the headache and vision adjustment still thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-05-30
- 2021-07-20
- 2021-07-26
-
2021-11-05
Dose 3 — Moderna
- 2021-12-10
- 2021-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: Just took some bad chills yesterday and a little bit of exhaustion no fever tho
Release 4 — day 21, dose 1
Symptoms: I am borderline diabetic but have noticed an increase in my sugar levels in the past 2-3weeks
Healthcare visit (other): Dr visit to check levels
Release 4 — day 0, dose 2
Systemic reaction (other): Eyes seem to be a little bit off like having to adjust my vision somewhat
Release 6 — day 28, dose 2
Symptoms: Not really new just the head and eyes thing as before just hard to really explain kinda like not really focused completely but only happens every now and again
Release 6 — day 35, dose 2
Symptoms: Not really new just the headache and vision adjustment still there
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 | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release