66C-82341-85461
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 852 / AZ
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
- 2021-03-10
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity, Pre-existing disease, Sinus disorder — Feeling: GoodFree text: I have seasonal allergies throughout the year, I cannot take my allergy shot because it may interfere with this according to what I was told. So my sinuses and my allergies are really bothering me now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
-
2021-04-01
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I just felt extremely tired. Yesterday and today, yesterday I took off from work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Dose 2 — Moderna
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
-
2021-05-11
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-07-06
-
2021-10-07
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Hospitalisation, Medical observation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I did get diarrhea for several days and had to be hospitalized. · Healthcare visit (other): Technically I was not admitted to the hospital but I did stay overnight for observation.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-10-12
-
2021-10-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have seasonal allergies throughout the year, I cannot take my allergy shot because it may interfere with this according to what I was told. So my sinuses and my allergies are really bothering me now.
Release 6 — day 21, dose 1
Symptoms: I just felt extremely tired. Yesterday and today, yesterday I took off from work.
Release 8 — day 35, dose 2
Symptoms: Sore throat
Release 10 — 6 months, dose 2
Symptoms: I did get diarrhea for several days and had to be hospitalized.
Healthcare visit (other): Technically I was not admitted to the hospital but I did stay overnight for observation.
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 | Medical observation | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release