5Q3-27989-99588
4 vaccinations
4 coded responses
28 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 950 / CA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
-
2021-03-17
Dose 2 — Moderna
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-26
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-23
Survey response — day 35, dose 2MedDRA: Crohn's disease, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I don't think my symptoms are related to the vaccine. I have had a flare up of my Crohns diseaseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-06-16
- 2021-09-15
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2022-01-18
Dose 3 — Moderna
-
2022-03-19
Survey response — 12 months, dose 2MedDRA: Anosmia, Cholecystectomy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Loss of smell and Gall bladder removalMedDRA releases: 2024-11 · check-in free text available
-
2022-03-19
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-22
Call successfulDoes not wish to fill out VAERS report
-
2022-07-21
Dose 4 — Moderna
-
2022-08-03
Survey response — day 7, dose 4MedDRA: Fatigue, Headache, Nausea, Palpitations — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I had heart palpitations the eveni g of the booster and on andoff since. Also nausea , headaches and fatigue most days since. since,MedDRA releases: 2024-11 · check-in free text available
- 2022-08-04
- 2022-08-11
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2022-08-18
Survey response — day 28, dose 4MedDRA: Dizziness, Dyspnoea, Fatigue, Influenza like illness, Pain, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had flulike symptoms, aches and heart palpitations with dizziness for two weeks after my second booster. Started feeling better but still tired with shortness of breath.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-04
- 2022-10-23
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2022-01-18 | Moderna | No |
| 4 | 2022-07-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — day 35, dose 2
Symptoms: I don't think my symptoms are related to the vaccine. I have had a flare up of my Crohns disease
Release 11 — 12 months, dose 2
Symptoms: Loss of smell and Gall bladder removal
Release 12 — day 7, dose 4
Systemic reaction (other): I had heart palpitations the eveni g of the booster and on andoff since. Also nausea , headaches and fatigue most days since. since,
Release 12 — day 28, dose 4
Symptoms: I had flulike symptoms, aches and heart palpitations with dizziness for two weeks after my second booster. Started feeling better but still tired with shortness of breath.
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 | Anosmia | · | · | ✓ |
| SD | Cholecystectomy | · | · | ✓ |
| SD | Crohn's disease | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release