5LL-16540-06097
4 vaccinations
7 coded responses
47 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 648 / MO
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
-
2021-03-11
Survey response — day 0, dose 1MedDRA: Headache, Pre-existing disease — Feeling: GoodFree text: I had a migraine prior so current head pain is most likely due to previous migraine. It is less than it was before shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-08
Dose 2 — Moderna
-
2021-04-08
Survey response — day 0, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: I have a severe migraine prior to receiving the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Migraine, Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chronic migraine sufferer. Had severe - 10/10 - migraine prior to shot due to barometric pressure. Pain has not change. Migraine history of three decades would say this is unrelated to vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-11
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
-
2021-10-22
Dose 3 — Moderna
- 2021-10-29
- 2021-11-05
- 2021-11-12
-
2021-11-19
Survey response — day 28, dose 3MedDRA: Hospitalisation, Infection, Nephrolithiasis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Hospitalized with infection post kidney stoneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-11-22
- 2021-11-26
-
2021-12-04
Survey response — day 42, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: Significant issues with kidney and urinary tract. These are pre-existing since 2013.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
- 2022-04-22
-
2022-10-01
Dose 4 — Moderna
- 2022-10-01
- 2022-10-02
- 2022-10-03
-
2022-10-04
Survey response — days 1–6 daily, dose 4MedDRA: Migraine — Feeling: Good · HeadacheFree text: MigrainesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-06
-
2022-10-07
Survey response — days 1–6 daily, dose 4MedDRA: Migraine, Pre-existing disease — Feeling: Poor · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have chronic migraine. Today is a bad migraine day. Likely unrelated to shot.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-07
Report sent to call center — days 1–6 daily, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-08
- 2022-10-10
- 2022-10-10
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-14
- 2022-12-31
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-10-01 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I had a migraine prior so current head pain is most likely due to previous migraine. It is less than it was before shot.
Release 7 — day 0, dose 2
Systemic reaction (other): I have a severe migraine prior to receiving the shot.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Chronic migraine sufferer. Had severe - 10/10 - migraine prior to shot due to barometric pressure. Pain has not change. Migraine history of three decades would say this is unrelated to vaccination.
Release 10 — day 28, dose 3
Symptoms: Hospitalized with infection post kidney stone
Release 10 — day 42, dose 3
Symptoms: Significant issues with kidney and urinary tract. These are pre-existing since 2013.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Migraines
Systemic reaction (other): I have chronic migraine. Today is a bad migraine day. Likely unrelated to shot.
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 |
|---|---|---|---|---|
| SD | Hospitalisation | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release