69G-28326-83061
4 vaccinations
6 coded responses
34 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 023 / MA
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-03
Registered in v-safe
-
2021-01-03
Dose 1 — Moderna
- 2021-01-03
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · HeadacheFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
-
2021-01-17
Survey response — day 14, dose 1MedDRA: Eye irritation, Headache, Nausea, Oropharyngeal pain — Feeling: Fair · Be unable to work, 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: I had a sore throat, a burning feeling in both of my eyes and a feeling like someone was stepping on my right eye, headaches, and nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-24
-
2021-01-31
Dose 2 — Moderna
-
2021-01-31
Survey response — day 0, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: PainFree text: Some tingling, numbness feeling in the armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-02-28
Survey response — day 28, dose 2MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue and nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — day 35, dose 2MedDRA: Diarrhoea, Nausea — Feeling: Fair · Be unable to workFree text: Occasional nausea and diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-17
- 2021-05-02
- 2021-08-01
-
2021-12-10
Dose 3 — Moderna
- 2022-01-31
-
2022-04-20
Dose 4 — Moderna
- 2022-04-27
-
2022-05-04
Survey response — day 14, dose 4MedDRA: Diarrhoea, Fatigue, Headache, Illness, Office visit, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vomiting, diarrhea, headaches, fatigue, but we traveled to Louisiana to help our daughter and her family move so not sure what caused the illness. Employee Health had me take a Covid test and it was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-20
- 2022-10-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-03 | Moderna | |
| 2 | 2021-01-31 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose
Release 2 — day 14, dose 1
Symptoms: I had a sore throat, a burning feeling in both of my eyes and a feeling like someone was stepping on my right eye, headaches, and nausea
Release 3 — day 0, dose 2
Systemic reaction (other): Some tingling, numbness feeling in the arm
Release 4 — day 28, dose 2
Symptoms: Fatigue and nausea
Release 5 — day 35, dose 2
Symptoms: Occasional nausea and diarrhea
Release 11 — day 14, dose 4
Symptoms: Vomiting, diarrhea, headaches, fatigue, but we traveled to Louisiana to help our daughter and her family move so not sure what caused the illness. Employee Health had me take a Covid test and it was negative.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Eye irritation | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release