DWX-11657-84531
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 231 / VA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-29
Dose 2 — Moderna
-
2021-01-31
Registered in v-safe
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-02
- 2021-02-03
-
2021-02-05
Survey response — day 7, dose 2MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: Probably had diarrhea last 2 days. Thought was something I ate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-21
-
2021-03-05
Survey response — day 35, dose 2MedDRA: Diarrhoea, Nausea, SARS-CoV-2 test negative, Throat irritation — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: 2 days ago had diarrhea and nausea with throat irritation Negative COVID PCRMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-29 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): Probably had diarrhea last 2 days. Thought was something I ate.
Release 5 — day 35, dose 2
Symptoms: 2 days ago had diarrhea and nausea with throat irritation Negative COVID PCR
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release