BK8-26872-53369
4 vaccinations
3 coded responses
18 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 530 / WI
- Registered
- 2021-06-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-23
Dose 1 — Moderna
-
2021-06-20
Dose 2 — Moderna
-
2021-06-22
Registered in v-safe
-
2021-06-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-06-24
- 2021-06-25
- 2021-06-26
- 2021-06-27
- 2021-07-04
- 2021-07-11
- 2021-07-18
- 2021-07-25
- 2021-08-01
-
2021-09-19
Survey response — 3 months, dose 2MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · 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: Soar throat and stuffed up noseMedDRA releases: 2024-11 · check-in free text available
-
2021-09-19
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-19
-
2022-01-06
Dose 3 — Moderna
-
2022-06-20
Survey response — 12 months, dose 2MedDRA: Fatigue, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, headache, and fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Dose 4 — Moderna
-
2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-06
-
2022-11-10
Survey response — day 42, dose 4MedDRA: Ear discomfort, Rhinorrhoea — Feeling: FairFree text: Runny nose and plugged earsMedDRA releases: 2024-11 · check-in free text available
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-23 | Moderna | No |
| 2 | 2021-06-20 | Moderna | No |
| 3 | 2022-01-06 | Moderna | No |
| 4 | 2022-09-29 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — 3 months, dose 2
Symptoms: Soar throat and stuffed up nose
Release 12 — 12 months, dose 2
Symptoms: Sore throat, headache, and fatigue
Release 12 — day 42, dose 4
Symptoms: Runny nose and plugged ears
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 | Ear discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release