6P7-14069-92590
3 vaccinations
5 coded responses
28 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 461 / IN
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-10
Registered in v-safe
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Chest pain, Dizziness, Headache, Nausea — Feeling: GoodFree text: Headache, nausea, dizziness, dull retrosternal chest pain for past 4 days but uncertain of origin and its gone today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-02-05
Survey response — day 28, dose 1MedDRA: Axillary pain — Feeling: FairFree text: Left axillary pain has gotten worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Dose 2 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-08-07
-
2021-10-24
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot — Feeling: Good · Fever · Headache, Fatigue or tirednessFree text: Feel too hot but I'm afebrileMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-10-28
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-10-31
-
2021-11-07
Survey response — day 14, dose 3MedDRA: Unevaluable event — Feeling: Poor · 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: Headache, fatigue, heartburn, RUQ/general abdominal pain, gas, bloating, nausea, constipation, muscle aches, likely all related to new statin therapy reaction. Abdominal ultrasound 11/09/21 to investigate gallbladder. I have no respiratory symptoms.MedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Report sent to call center — day 14, dose 3Be 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)
- 2021-11-10
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
-
2022-01-23
Survey response — 3 months, dose 3MedDRA: Ear disorder, Eye irritation, Fatigue, Headache, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, headache, eye and ear irritation, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Headache, nausea, dizziness, dull retrosternal chest pain for past 4 days but uncertain of origin and its gone today.
Release 3 — day 28, dose 1
Symptoms: Left axillary pain has gotten worse
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feel too hot but I'm afebrile
Release 10 — day 14, dose 3
Symptoms: Headache, fatigue, heartburn, RUQ/general abdominal pain, gas, bloating, nausea, constipation, muscle aches, likely all related to new statin therapy reaction. Abdominal ultrasound 11/09/21 to investigate gallbladder. I have no respiratory symptoms. cut off by CDC
Release 11 — 3 months, dose 3
Symptoms: Sore throat, headache, eye and ear irritation, fatigue
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 | Axillary pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear disorder | · | · | ✓ |
| SD | Eye irritation | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release