647-15283-26291
5 vaccinations
6 coded responses
42 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 421 / KY
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-23
-
2020-12-24
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Good · Site: PainFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Toothache — Feeling: FairFree text: ToothacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Tooth fracture, Tooth infection, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Have tooth ache. Dentist said i have vertical root fracture with infected tooth . To see oral surgeon to have it extracted. No problems was noted till after vaccine · Healthcare visit (other): Dentist and appt with oral surgeon pendingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2020-12-30
Survey response — day 7, dose 1MedDRA: Office visit, Tooth abscess, Tooth fracture, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Toothache confirmed VRF and abscess · Healthcare visit (other): Have oral surgeon appointment 1/5.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-30
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-06
- 2021-01-13
- 2021-01-18
-
2021-01-20
Dose 2 — Moderna
-
2021-01-27
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · Chills, Muscle or body achesAdult check-in
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-04-23
- 2021-07-21
-
2021-11-06
Dose 3 — Moderna
-
2022-01-20
Survey response — 12 months, dose 2MedDRA: Anaemia, Blood iron decreased, Office visit, Vitamin B12 deficiency — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Low iron, vitamin B12 deficiency, anemia · Healthcare visit (other): GI office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-01-20
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-21
-
2022-05-20
Dose 4 — Moderna
-
2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-05-24
- 2022-05-25
- 2022-05-27
- 2022-06-03
- 2022-06-12
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-08-19
-
2022-11-10
Dose 5 — Moderna
- 2022-11-10
-
2022-11-11
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-16
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
-
2022-12-15
Survey response — day 35, dose 5MedDRA: Cough, Office visit, Pain, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cough. General aches: post nasal drip: · Healthcare visit (other): Family PCPMedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professional1 call case(s)
-
2022-12-16
Call successfulNot applicable - Accidental Reporting
-
2022-12-16
Call successfulNot applicable - Accidental Reporting
-
2022-12-16
Call successfulNot applicable - Accidental Reporting
-
2022-12-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-22
- 2023-02-09
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
| 5 | 2022-11-10 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose
Systemic reaction (other): Toothache
Systemic reaction (other): Have tooth ache. Dentist said i have vertical root fracture with infected tooth . To see oral surgeon to have it extracted. No problems was noted till after vaccine
Healthcare visit (other): Dentist and appt with oral surgeon pending
Release 1 — day 7, dose 1
Systemic reaction (other): Toothache confirmed VRF and abscess
Healthcare visit (other): Have oral surgeon appointment 1/5.
Release 10 — 12 months, dose 2
Symptoms: Low iron, vitamin B12 deficiency, anemia
Healthcare visit (other): GI office visit
Release 12 — day 35, dose 5
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 | Dental examination | ○ | ○ | ○ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Anaemia | · | · | ✓ |
| SD | Blood iron decreased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vitamin B12 deficiency | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Tooth abscess | ✓ | ✓ | ✓ |
| SRO | Tooth fracture | ✓ | ✓ | ✓ |
| SRO | Tooth infection | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release