8EB-29959-61525
5 vaccinations
3 coded responses
30 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 441 / OH
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Axillary swollen gland with tenderness on ipsilateral sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-07
Dose 2 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-05-09
-
2021-08-08
Survey response — 6 months, dose 2MedDRA: Supraventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Recurrent atrial ectopic beats. On diltiazem nowMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-29
Dose 3 — Moderna
- 2021-11-24
- 2022-02-07
- 2022-04-29
-
2022-05-13
Dose 4 — Pfizer-BioNTech
- 2022-06-04
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-08-12
-
2022-09-22
Dose 5 — Other-Unknown
-
2022-11-11
Survey response — 6 months, dose 4MedDRA: Cough, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a bad cough for 3 weeks tested 5 times for COVID including PCR test all negativeMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-07 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-13 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Other-Unknown | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-08 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Axillary swollen gland with tenderness on ipsilateral side
Release 9 — 6 months, dose 2
Symptoms: Recurrent atrial ectopic beats. On diltiazem now
Release 12 — 6 months, dose 4
Symptoms: Had a bad cough for 3 weeks tested 5 times for COVID including PCR test all 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 | Cough | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Supraventricular extrasystoles | ✓ | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release