65F-14210-60462
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 168 / PA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Eyeball feel sore like with virus or tempMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Headache, Fatigue or tirednessFree text: Tummy unsettledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Survey response — day 14, dose 2MedDRA: Antibiotic therapy, Hospitalisation, Physiotherapy, Sepsis, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Developed sepsis from UTI. Admitted to hospital for a week. Being discharged on two weeks IV antibiotic therapy and home physical therapyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
-
2021-08-12
Survey response — 6 months, dose 2MedDRA: Office visit, Rash, Rash erythematous, Rash pruritic, Sepsis — 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: Symptoms: I have terrible red rash all over body that is terribly itchy. Has not responded to treatmentI got sepsis 4 days after vaccine. Got this after sepsis. Do not know if any relationship at all. · Healthcare visit (other): Family doc and several visits to dermatilofistMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
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)
- 2021-08-14
-
2021-09-17
Dose 3 — Moderna
- 2021-09-17
-
2021-09-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-19
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose increased — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Noticed all yesterday afternoon and eve my blood sugars ran higher than normal and needed more insulin than normal for same dietMedDRA releases: 2024-11 · check-in free text available
-
2021-09-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-09-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-09-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-09-23
- 2021-09-24
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-10-24
- 2021-10-29
- 2021-12-17
- 2022-03-18
- 2022-09-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-09-17 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Eyeball feel sore like with virus or temp
Systemic reaction (other): Tummy unsettled
Release 4 — day 14, dose 2
Symptoms: Developed sepsis from UTI. Admitted to hospital for a week. Being discharged on two weeks IV antibiotic therapy and home physical therapy
Release 9 — 6 months, dose 2
Symptoms: I have terrible red rash all over body that is terribly itchy. Has not responded to treatmentI got sepsis 4 days after vaccine. Got this after sepsis. Do not know if any relationship at all.
Healthcare visit (other): Family doc and several visits to dermatilofist
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Noticed all yesterday afternoon and eve my blood sugars ran higher than normal and needed more insulin than normal for same diet
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 | Office visit | ✓ | · | ✓ |
| SD | Antibiotic therapy | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Rash erythematous | ✓ | · | ✓ |
| SD | Rash pruritic | ✓ | · | ✓ |
| SD | Sepsis | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release