67U-29528-46889
4 vaccinations
12 coded responses
49 check-ins
11 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 430 / OH
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-07
Registered in v-safe
-
2021-02-07
Dose 1 — Moderna
- 2021-02-07
- 2021-02-08
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-21
- 2021-02-28
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
-
2021-10-30
Dose 3 — Moderna
-
2021-10-30
Survey response — day 0, dose 3MedDRA: Pruritus — Feeling: Good · Site: Pain, ItchingFree text: Itching other placesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Dyspepsia — Feeling: Good · Site: Pain · FeverFree text: Heart burnMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
-
2021-11-13
Survey response — day 14, dose 3MedDRA: Eye pain, Eye pruritus, Unevaluable event, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My right eye is painful, itchy and has developed a blurry spot · Healthcare visit (other): Seeing pcpMedDRA releases: 2024-11 · check-in free text available
-
2021-11-13
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-20
- 2021-11-27
-
2021-12-04
Survey response — day 35, dose 3MedDRA: Back pain, Blood urine present, Office visit, Pyrexia — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fever, blood in urine, back pain · Healthcare visit (other): My GPMedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Report sent to call center — day 35, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-11
-
2022-01-29
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got Covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
-
2022-09-10
Dose 4 — ModernaCo-administered: Flu
-
2022-09-11
Survey response — days 1–6 daily, dose 4MedDRA: Paraesthesia — Feeling: Good · Site: Pain · HeadacheFree text: Tingling in handsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Survey response — days 1–6 daily, dose 4MedDRA: Hypoaesthesia, Muscular weakness — Feeling: Good · Site: PainFree text: Some numbness and weakness in right lower legMedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
-
2022-09-17
Health check-in — day 7, dose 4Feeling: Fair · Headache, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-24
-
2022-10-01
Survey response — day 21, dose 4MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Congestion and really bad sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-03
- 2022-10-03
-
2022-10-08
Survey response — day 28, dose 4MedDRA: Fatigue, Nasopharyngitis, Respiratory tract congestion, Sinusitis — 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: Congestion exhaustion not Covid related. I caught a cold and it turned into sinus infectionMedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Report sent to call center — day 28, dose 4Be 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)
- 2022-10-11
- 2022-10-11
- 2022-10-11
-
2022-10-15
Survey response — day 35, dose 4MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
-
2022-12-10
Survey response — 3 months, dose 4MedDRA: Dyspnoea, Headache, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Breathlessness, calf pain and headaches · Healthcare visit (other): Doctor who ordered scansMedDRA releases: 2024-11 · check-in free text available
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2022-12-10
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-13
- 2022-12-13
- 2022-12-13
- 2022-12-13
-
2023-03-11
Survey response — 6 months, dose 4MedDRA: Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-11
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-13
- 2023-03-13
- 2023-03-13
- 2023-03-13
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-07 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-09-10 | Moderna | Flu |
Call center
6 call center cases
1 successful · 5 unsuccessful
1 wait over 3 months for a first call
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Itching other places
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Heart burn
Release 10 — day 14, dose 3
Symptoms: My right eye is painful, itchy and has developed a blurry spot
Healthcare visit (other): Seeing pcp
Release 10 — day 35, dose 3
Release 11 — 3 months, dose 3
Symptoms: I got Covid.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Tingling in hands
Systemic reaction (other): Some numbness and weakness in right lower leg
Release 12 — day 21, dose 4
Symptoms: Congestion and really bad sore throat
Release 12 — day 28, dose 4
Symptoms: Congestion exhaustion not Covid related. I caught a cold and it turned into sinus infection
Release 12 — day 35, dose 4
Symptoms: Headaches
Release 12 — 3 months, dose 4
Symptoms: Breathlessness, calf pain and headaches
Healthcare visit (other): Doctor who ordered scans
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Blood urine present | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release