9KB-30607-30893
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 217 / MD
- Registered
- 2021-08-08
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-05
Dose 1 — Moderna
-
2021-08-08
Registered in v-safe
-
2021-08-08
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I had mild chest pains 30-60 min following the vaccine. This lasted for just one dayMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Nausea, DiarrheaAdult check-in
- 2021-08-11
-
2021-08-12
Health check-in — day 7, dose 1Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-08-19
- 2021-08-26
-
2021-09-02
Dose 2 — Moderna
- 2021-09-02
-
2021-09-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-09-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-09-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-09-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-09-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-09-11
Health check-in — day 7, dose 2Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-09-16
- 2021-09-23
- 2021-10-02
- 2021-10-07
- 2021-10-16
-
2021-12-02
Survey response — 3 months, dose 2MedDRA: Viral infection — Feeling: Poor · Be unable to work or attend schoolFree text: Got a viral infection unrelated to covidMedDRA releases: 2024-11 · check-in free text available
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2022-03-05
Survey response — 6 months, dose 2MedDRA: Influenza, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Cold, flu, here and thereMedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-09-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-05 | Moderna | No |
| 2 | 2021-09-02 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I had mild chest pains 30-60 min following the vaccine. This lasted for just one day
Release 10 — 3 months, dose 2
Symptoms: Got a viral infection unrelated to covid
Release 11 — 6 months, dose 2
Symptoms: Cold, flu, here and there
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 | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Chest pain | ✓ | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release