AC7-78827-21517
2 vaccinations
4 coded responses
29 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 430 / OH
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, NauseaFree text: I have chronic migraines, symptoms seem to be a migraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
-
2021-01-11
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-01-11
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-19
Survey response — day 14, dose 1MedDRA: Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Congestion, runny nose, sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — day 21, dose 1MedDRA: Medical counselling, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Congestion, runny nose, sneezing · Healthcare visit (other): Consultation with employee health (advanced practice.nurses) at my employerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-20
-
2021-02-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-06-01
- 2021-08-27
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Ectopic pregnancy, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Ectopic pregnancy..... location never determined. Bleeding started day after booster dose · Healthcare visit (other): Methotrexate injections at infusion clinicMedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-28
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-11 | Successful 2021-02-23 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-01-25 | Successful | Does not wish to fill out VAERS report |
| 2022-02-26 | Successful 2022-02-28 |
Does not wish to fill out VAERS report |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I have chronic migraines, symptoms seem to be a migraine
Release 2 — day 14, dose 1
Symptoms: Congestion, runny nose, sneezing
Release 2 — day 21, dose 1
Symptoms: Congestion, runny nose, sneezing
Healthcare visit (other): Consultation with employee health (advanced practice.nurses) at my employer
Release 11 — 12 months, dose 2
Symptoms: Ectopic pregnancy..... location never determined. Bleeding started day after booster dose
Healthcare visit (other): Methotrexate injections at infusion clinic
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release