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6HL-96717-96971

4 vaccinations 5 coded responses 25 check-ins 5 free-text entries 4 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
327 / FL
Registered
2021-01-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-01-30
    Registered in v-safe
  3. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-25
    Dose 2 — Moderna
  12. 2021-02-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  16. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-04
    Survey response — day 7, dose 2
    MedDRA: Dizziness, Influenza like illness — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Feeling like the flu. Been in bed most of day. Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-27
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Liver function test increased, Nephrolithiasis, Office visit, Vocal cord dysfunction — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Bladder and urithal stones. Liver function test real high and vocal cords wont close all the way. Extremely tired · Healthcare visit (other): Gastroenterologist, ENT, and Euro gynecologist.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-27
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-08-16
    Dose 3 — Moderna
  28. 2021-08-26
    Survey response — 6 months, dose 2
    MedDRA: Malaise — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I because extremely sick after that booster shot.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-08-26
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-08-27
  31. 2021-11-15
    Survey response — 3 months, dose 3
    MedDRA: Hospitalisation, Malaise, Pneumonia — 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 · Emergency room or emergency department visit, Hospitalization
    Free text: Pneumonia in the hospital. Was very sick after my booster shot.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-15
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  33. 2021-11-16
  34. 2022-01-17
    Dose 4 — Moderna
  35. 2022-02-14
    Survey response — 6 months, dose 3
    MedDRA: Abdominal pain upper, Office visit — 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 visit
    Free text: Symptoms: Extreme screaming pain in upper stomach under breast. Endoscopy already done just waiting for MRI to get done. · Healthcare visit (other): Pc
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-02-14
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  37. 2022-02-15
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-08-16Moderna No
42022-01-17Moderna No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Feeling like the flu. Been in bed most of day. Dizzy

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Bladder and urithal stones. Liver function test real high and vocal cords wont close all the way. Extremely tired
Healthcare visit (other): Gastroenterologist, ENT, and Euro gynecologist.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: I because extremely sick after that booster shot.

Release 10 — 3 months, dose 3

2021-11-15

Symptoms: Pneumonia in the hospital. Was very sick after my booster shot.

Release 11 — 6 months, dose 3

2022-02-14

Symptoms: Extreme screaming pain in upper stomach under breast. Endoscopy already done just waiting for MRI to get done.
Healthcare visit (other): Pc

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAbdominal pain upper · · ✓
SDFatigue ✓ ✓ ✓
SDHospitalisation · · ✓
SDLiver function test increased ✓ ✓ ✓
SDMalaise ✓ · ✓
SDNephrolithiasis ✓ ✓ ✓
SDPneumonia · · ✓
SDVocal cord dysfunction ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release