64Z-16915-50675
3 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 220 / VA
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
- 2021-02-11
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-18
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-17
- 2021-03-26
- 2021-03-31
-
2021-04-07
Survey response — day 28, dose 2MedDRA: Diarrhoea, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea, Headache and possible low grade feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-06-11
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Angina pectoris, Chills, Dyspepsia, Fatigue, Gastrointestinal disorder, Heart rate increased, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · 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: Gastrointestinal issues! Severe heartburn that never goes away. Also, I just got my Annual flu shot & had a severe reaction...fever over 102, chills/body aches, heartache, increased heart rate, fatigue, upset stomach. Had both Covid tests & negativeMedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-11
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-11
-
2021-11-16
Survey response — day 21, dose 3MedDRA: Headache — Feeling: GoodFree text: I've been having headachesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
-
2021-11-30
Survey response — day 35, dose 3MedDRA: Malaise, Oropharyngeal pain, Pyrexia, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a fever day after Thanksgiving and felt crappy all weekend. Sore throat and bad post nasal drip.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 28, dose 2
Symptoms: Diarrhea, Headache and possible low grade fever
Release 9 — 6 months, dose 2
Symptoms: Gastrointestinal issues! Severe heartburn that never goes away. Also, I just got my Annual flu shot & had a severe reaction...fever over 102, chills/body aches, heartache, increased heart rate, fatigue, upset stomach. Had both Covid tests & negative cut off by CDC
Release 10 — day 21, dose 3
Symptoms: I've been having headaches
Release 10 — day 35, dose 3
Symptoms: I had a fever day after Thanksgiving and felt crappy all weekend. Sore throat and bad post nasal drip.
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 |
|---|---|---|---|---|
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Angina pectoris | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release