5KP-29664-12873
3 vaccinations
3 coded responses
28 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 445 / OH
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-03-07
Registered in v-safe
- 2021-03-07
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-18
- 2021-04-23
- 2021-06-11
- 2021-09-10
-
2021-11-02
Dose 3 — Moderna
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Somnolence — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tirednessFree text: Tired and sleepyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-07
- 2021-11-08
- 2021-11-11
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
-
2022-02-01
Survey response — 3 months, dose 3MedDRA: Epistaxis — Feeling: GoodFree text: I have been experiencing nosebleed it's only in one nostril on the left side. I had one experience where that nostril bled for 2 hours. I sometimes think that it comes from me wearing my mask however I do wear my math whenever I leave my home.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
-
2022-11-03
Survey response — 12 months, dose 3MedDRA: Breast pain, COVID-19, Chest pain — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Yes I experienced a mild case of the covid-19 · Healthcare visit (other): I experience chest and breast pain. My doctor sent in a prescription for me to have a breast exam the test came back okay but I still had the pain then a few days later I came down with the covid-19MedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Report sent to call center — 12 months, dose 3Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tired and sleepy
Release 11 — 3 months, dose 3
Symptoms: I have been experiencing nosebleed it's only in one nostril on the left side. I had one experience where that nostril bled for 2 hours. I sometimes think that it comes from me wearing my mask however I do wear my math whenever I leave my home.
Release 12 — 12 months, dose 3
Symptoms: Yes I experienced a mild case of the covid-19
Healthcare visit (other): I experience chest and breast pain. My doctor sent in a prescription for me to have a breast exam the test came back okay but I still had the pain then a few days later I came down with the covid-19
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 | Breast pain | · | · | ✓ |
| HCVO | Chest pain | · | · | ✓ |
| HCVO | COVID-19 | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release