68W-33529-00780
5 vaccinations
17 coded responses
68 check-ins
17 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 441 / OH
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
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2021-01-09
Dose 1 — Moderna
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
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2021-01-23
Survey response — day 14, dose 1MedDRA: Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Shooting pains down my right leg (not aware of any trauma to that leg). Having it checked out next week to find a cause. · Healthcare visit (other): Appt scheduled for next week with NPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-30
- 2021-02-06
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2021-02-08
Dose 2 — Moderna
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Nasal CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness since yesterday (I fell); seems to be resolvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessFree text: Mild dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Fair · Fatigue or tirednessFree text: Stuffy nose continuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-04-02
- 2021-05-10
- 2021-08-09
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2021-11-01
Dose 3 — Moderna
- 2021-11-01
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea — Feeling: Fair · Chills, Headache, Fatigue or tirednessFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion, Sinus headache — Feeling: Good · Fatigue or tirednessFree text: Stuffiness; sinus headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: GoodFree text: Stuffy nose; somewhat congestedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-17
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
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2022-04-06
Dose 4 — Moderna
- 2022-04-06
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2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body achesFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
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2022-04-09
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea — Feeling: Fair · HeadacheFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-04-10
- 2022-04-11
- 2022-04-13
- 2022-04-20
- 2022-04-27
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2022-05-04
Survey response — day 28, dose 4MedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left ear infection-placed on antibiotics yesterday 5/3/22."MedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-05
- 2022-05-11
- 2022-05-18
- 2022-07-06
- 2022-10-05
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2022-10-06
Dose 5 — Moderna
- 2022-10-06
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2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Runny nose, slight coughMedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Survey response — days 1–6 daily, dose 5MedDRA: Rhinorrhoea — Feeling: Fair · Site: PainFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
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2022-10-10
Survey response — days 1–6 daily, dose 5MedDRA: Rhinorrhoea, Sinus congestion — Feeling: Fair · Site: PainFree text: Runny nose, sinus congestionMedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Rhinorrhoea, Sinus congestion — Feeling: GoodFree text: Runny nose, sinus congestionMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Survey response — days 1–6 daily, dose 5MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose, sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Survey response — day 7, dose 5MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-10-06 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Shooting pains down my right leg (not aware of any trauma to that leg). Having it checked out next week to find a cause.
Healthcare visit (other): Appt scheduled for next week with NP
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Nasal Congestion
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness since yesterday (I fell); seems to be resolving
Systemic reaction (other): Mild dizziness
Systemic reaction (other): Stuffy nose continues
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Runny nose
Systemic reaction (other): Stuffiness; sinus headache
Systemic reaction (other): Stuffy nose; somewhat congested
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Runny nose
Systemic reaction (other): Runny nose
Release 11 — day 28, dose 4
Symptoms: Left ear infection-placed on antibiotics yesterday 5/3/22."
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Runny nose, slight cough
Systemic reaction (other): Runny nose
Systemic reaction (other): Runny nose, sinus congestion
Systemic reaction (other): Runny nose, sinus congestion
Systemic reaction (other): Runny nose, sore throat
Release 12 — day 7, dose 5
Systemic reaction (other): Runny nose, sore throat
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
| SRO | Sinus headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release