5S5-30845-43378
3 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 900 / CA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-02-05
Registered in v-safe
-
2021-02-05
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I noticed a rash on my right arm on the 1st of February. This is the arm where I received the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-24
Dose 2 — Moderna
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-11
- 2021-03-17
- 2021-03-24
- 2021-04-02
-
2021-04-07
Survey response — day 42, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Since about the 9th of March I have had a flare up of chronic interstitial cystitis. For the past couple of years flare ups only last a couple of days. This one has gone on for almost a month. Could this be related to the Feb 24 2nd vaccine?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professionalno matching call case
-
2021-05-26
Survey response — 3 months, dose 2MedDRA: Acupuncture, Cystitis, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Chronic interstitial cystis returned after vaccination and has not gone away. I had been sympom free for several months before getting the vaccine. · Healthcare visit (other): AcupunctureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
-
2021-10-26
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-03
- 2021-11-09
-
2021-11-16
Survey response — day 21, dose 3MedDRA: Anxiety, Headache — Feeling: GoodFree text: Headaches and anxietyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
- 2022-05-12
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
1 check-in flagged for a call with no call center case on record
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): I noticed a rash on my right arm on the 1st of February. This is the arm where I received the vaccine
Release 7 — day 42, dose 2
Symptoms: Since about the 9th of March I have had a flare up of chronic interstitial cystitis. For the past couple of years flare ups only last a couple of days. This one has gone on for almost a month. Could this be related to the Feb 24 2nd vaccine?
Release 8 — 3 months, dose 2
Symptoms: Chronic interstitial cystis returned after vaccination and has not gone away. I had been sympom free for several months before getting the vaccine.
Healthcare visit (other): Acupuncture
Release 10 — day 21, dose 3
Symptoms: Headaches and anxiety
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 | Acupuncture | ✓ | ✓ | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cystitis | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release