5SN-34873-84695
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 451 / OH
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-27
Dose 1 — Moderna
-
2021-01-05
Registered in v-safe
- 2021-01-05
- 2021-01-10
- 2021-01-17
-
2021-01-24
Dose 2 — Moderna
- 2021-01-24
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-02
- 2021-02-07
- 2021-02-14
-
2021-02-21
Survey response — day 28, dose 2MedDRA: White blood cell count decreased — Feeling: FairFree text: White blood cell count is low not sure if its relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — day 35, dose 2MedDRA: Office visit, White blood cell count decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Getting worked up for low WBC · Healthcare visit (other): Primary careMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-09
Survey response — day 42, dose 2MedDRA: Fatigue, White blood cell count decreased — Feeling: FairFree text: Tired and low white blood cell countMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — 3 months, dose 2MedDRA: Cough, Dyspnoea, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Short of breath, cough, congestion and body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-20
-
2022-01-24
Survey response — 12 months, dose 2MedDRA: Full blood count abnormal, Medical procedure — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Had a bone marrow biopsy to rule out cancer. CBC was out of whack since my second vaccine · Healthcare visit (other): Procedure done and numerous blood drawsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
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)
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-02 | Unsuccessful | |
| 2022-01-24 | Unsuccessful |
Free text
Release 4 — day 28, dose 2
Symptoms: White blood cell count is low not sure if its related
Release 4 — day 35, dose 2
Release 5 — day 42, dose 2
Symptoms: Tired and low white blood cell count
Release 8 — 3 months, dose 2
Symptoms: Short of breath, cough, congestion and body aches
Release 11 — 12 months, dose 2
Symptoms: Had a bone marrow biopsy to rule out cancer. CBC was out of whack since my second vaccine
Healthcare visit (other): Procedure done and numerous blood draws
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 | Medical procedure | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Full blood count abnormal | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | White blood cell count decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release