5SZ-74577-72534
3 vaccinations
7 coded responses
26 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 473 / IN
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-17
Survey response — day 0, dose 1MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Sore throat, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-28
-
2021-05-05
Survey response — day 21, dose 2MedDRA: Diarrhoea, Dizziness, Gastroenteritis viral, Headache, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Nausea, dizziness, headache, diarrhea. Diarrhea stopped within 24 hours. Others resolved within 72 hours. Our community is experiencing a stomach bug.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-19
- 2021-07-16
-
2021-11-01
Dose 3 — Moderna
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-11-03
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Pre-existing disease, Sinusitis — Feeling: Good · Site: Pain, Swelling · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Headache from sinus infection. · Healthcare visit (other): The symptoms of a sinus infection started before I got the shot.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-05
-
2021-11-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-07
- 2021-11-08
- 2021-11-15
-
2021-11-22
Survey response — day 21, dose 3MedDRA: Abdominal discomfort, Frequent bowel movements, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Upset stomach, nausea, frequent bowel movementsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
-
2021-12-06
Survey response — day 35, dose 3MedDRA: Hyposmia, Respiratory tract congestion — Feeling: GoodFree text: My sense of smell isn't as strong. I feel congested.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
-
2022-01-31
Survey response — 3 months, dose 3MedDRA: Constipation, Diarrhoea, Fatigue, Illness, Respiratory tract congestion — Feeling: FairFree text: Diarrhea during an illness when I was fatigued and congested followed by 2 weeks of constipation.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Survey response — 6 months, dose 3MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: AcheyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Sore throat, cough
Release 8 — day 21, dose 2
Symptoms: Nausea, dizziness, headache, diarrhea. Diarrhea stopped within 24 hours. Others resolved within 72 hours. Our community is experiencing a stomach bug.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Headache from sinus infection.
Healthcare visit (other): The symptoms of a sinus infection started before I got the shot.
Release 10 — day 21, dose 3
Symptoms: Upset stomach, nausea, frequent bowel movements
Release 10 — day 35, dose 3
Symptoms: My sense of smell isn't as strong. I feel congested.
Release 11 — 3 months, dose 3
Symptoms: Diarrhea during an illness when I was fatigued and congested followed by 2 weeks of constipation.
Release 11 — 6 months, dose 3
Symptoms: Achey
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 | Pre-existing disease | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Frequent bowel movements | · | · | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release