63S-28159-80191
3 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 334 / FL
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Productive cough — Feeling: Good · HeadacheFree text: Lot of phlegm and coughing it up clearMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-09
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Diarrhoea, Headache, Productive cough, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: 4am today pain In stomach, threw up a lot of phlegm and had multiple diarrhea bouts. Slight headache when I woke up. Fine nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
- 2021-02-24
- 2021-02-26
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
-
2021-08-20
Dose 3 — Moderna
-
2021-08-24
Survey response — 6 months, dose 2MedDRA: Abdominal pain upper, Chills, Dizziness, Erythema, Headache, Pain in extremity, Peripheral swelling, Tenderness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chills, bad headaches. Stomach ache, some dizziness for 3 days only. Arm of injection still red, swollen, tender but no longer hurtsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-19
Survey response — 3 months, dose 3MedDRA: Cough, Diarrhoea, Dyspnoea, Hyperhidrosis, Unevaluable event, Vomiting — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Noroviris maybe. Hot sweats, vomiting and diahrea all at the same time - dry cough, only one day - Nov. 16, 2021 Dofficulty breathing. Nothing to do with Booster · Healthcare visit (other): MedicationMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-29
- 2022-02-18
- 2022-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-08-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Lot of phlegm and coughing it up clear
Release 3 — day 14, dose 1
Symptoms: 4am today pain In stomach, threw up a lot of phlegm and had multiple diarrhea bouts. Slight headache when I woke up. Fine now
Release 9 — 6 months, dose 2
Symptoms: Chills, bad headaches. Stomach ache, some dizziness for 3 days only. Arm of injection still red, swollen, tender but no longer hurts
Release 10 — 3 months, dose 3
Symptoms: Noroviris maybe. Hot sweats, vomiting and diahrea all at the same time - dry cough, only one day - Nov. 16, 2021 Dofficulty breathing. Nothing to do with Booster
Healthcare visit (other): Medication
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Erythema | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Tenderness | ✓ | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release