6EF-30254-88209
5 vaccinations
8 coded responses
54 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 450 / OH
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-25
Registered in v-safe
- 2021-02-25
- 2021-02-27
- 2021-03-06
-
2021-03-08
Dose 2 — Moderna
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Fair · Joint pains, Fatigue or tirednessFree text: old age aches and painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
-
2021-03-22
Survey response — day 14, dose 2MedDRA: Eye infection, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Eye infection from severe allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-06-07
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Eye infection, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe allergies that increase rarehearing loss condition and caused eye infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-04
Call successfulNot applicable - Accidental Reporting
- 2021-09-06
-
2021-10-25
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
-
2021-11-29
Survey response — day 35, dose 3MedDRA: Ear congestion, Nasopharyngitis, Respiratory tract congestion — Feeling: FairFree text: Bad cold with ear and respiratory congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2022-01-24
- 2022-04-25
-
2022-07-03
Dose 4 — Moderna
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-17
- 2022-07-24
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2022-07-31
Survey response — day 28, dose 4MedDRA: Cough, Dyspnoea, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever, sore throat, bad cough, shortness of breath, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-08-07
Survey response — day 35, dose 4MedDRA: Condition aggravated, Office visit, Pre-existing disease, Viral infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Have had long lasting virus that has made my rare ear problems worse · Healthcare visit (other): ENT specialistMedDRA releases: 2024-11 · check-in free text available
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2022-08-07
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-08-08
-
2022-08-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-14
- 2022-10-02
-
2022-10-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-12
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
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2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: Malaise — Feeling: Fair · Site: Pain · Fever · Abdominal pain · Be unable to do your normal daily activitiesFree text: I had the extra potent senior citizen flu vaccine! I think that made me sick.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
-
2022-10-15
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Fair · Site: PainFree text: Senior flu shot on same day so my reporting taintedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-07-03 | Moderna | No |
| 5 | 2022-10-12 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): old age aches and pains
Release 6 — day 14, dose 2
Symptoms: Eye infection from severe allergies
Release 8 — 3 months, dose 2
Symptoms: Severe allergies that increase rarehearing loss condition and caused eye infection
Release 10 — day 35, dose 3
Symptoms: Bad cold with ear and respiratory congestion
Release 12 — day 28, dose 4
Symptoms: Fever, sore throat, bad cough, shortness of breath, runny nose
Release 12 — day 35, dose 4
Symptoms: Have had long lasting virus that has made my rare ear problems worse
Healthcare visit (other): ENT specialist
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I had the extra potent senior citizen flu vaccine! I think that made me sick.
Systemic reaction (other): Senior flu shot on same day so my reporting tainted
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Eye infection | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release