5FW-29120-83457
5 vaccinations
5 coded responses
62 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 180 / PA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: I never noticed that my shoulder/arm where I received the shot was sore until today when I was using it a lot!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Survey response — day 28, dose 1MedDRA: Diarrhoea, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I cancelled my appointment since I had nausea & loose bowels all night: I barely slept.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
-
2021-11-10
Dose 3 — Moderna
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2021-12-15
Survey response — day 35, dose 3MedDRA: Cough, Office visit, Respiratory tract congestion, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: A stubborn sinus infection: cough & congestion. · Healthcare visit (other): Family Dr. OfficeMedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-16
-
2021-12-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-22
-
2022-02-10
Survey response — 3 months, dose 3MedDRA: Aphonia, Office visit, Vocal cord erythema, Vocal cord inflammation — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I didn't have a voice for over a month. My family Dr. referred me to an ENT. The P.A. put something down my nostrils into my throat to look around. She said my vocal cords were red & inflamed! She thought it was due to acid reflux & added Pepcid. · Healthcare visit (other): Dr.'s Office VisitMedDRA releases: 2024-11 · check-in free text available
-
2022-02-10
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-15
- 2022-02-16
-
2022-05-10
Dose 4 — Moderna
- 2022-05-11
- 2022-05-11
- 2022-05-12
- 2022-05-13
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
-
2022-08-09
Survey response — 3 months, dose 4MedDRA: Chills, Fatigue, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had congestion, chills & extreme fatigue for 3-4 days.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Dose 5 — Moderna
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-05-10 | Moderna | No |
| 5 | 2022-10-06 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I never noticed that my shoulder/arm where I received the shot was sore until today when I was using it a lot!
Release 4 — day 28, dose 1
Symptoms: I cancelled my appointment since I had nausea & loose bowels all night: I barely slept.
Release 10 — day 35, dose 3
Symptoms: A stubborn sinus infection: cough & congestion.
Healthcare visit (other): Family Dr. Office
Release 11 — 3 months, dose 3
Symptoms: I didn't have a voice for over a month. My family Dr. referred me to an ENT. The P.A. put something down my nostrils into my throat to look around. She said my vocal cords were red & inflamed! She thought it was due to acid reflux & added Pepcid. cut off by CDC
Healthcare visit (other): Dr.'s Office Visit
Release 12 — 3 months, dose 4
Symptoms: Had congestion, chills & extreme fatigue for 3-4 days.
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 | Aphonia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vocal cord erythema | · | · | ✓ |
| SD | Vocal cord inflammation | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release