E4Y-20840-52502
3 vaccinations
6 coded responses
31 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 168 / PA
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-07
Dose 1 — Moderna
-
2021-02-08
Registered in v-safe
-
2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-09
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-12
- 2021-02-13
-
2021-02-14
Survey response — day 7, dose 1MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness, NauseaFree text: I am hypothyroid so these symptoms are common.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-28
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pruritus — Feeling: Good · Fatigue or tirednessFree text: Itchiness, a large ball, or swollen lymphnode on my clavicleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — day 7, dose 2MedDRA: Anxiety — Feeling: GoodFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Report sent to call center — 6 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 pr1 call case(s)
-
2021-09-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-02-04
Dose 3 — Moderna
- 2022-03-05
- 2022-03-05
- 2022-03-11
- 2022-03-18
-
2022-05-06
Survey response — 3 months, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-08-05
-
2023-02-04
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-07 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2022-02-04 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): I am hypothyroid so these symptoms are common.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Itchiness, a large ball, or swollen lymphnode on my clavicle
Release 5 — day 7, dose 2
Systemic reaction (other): Anxiety
Release 9 — 6 months, dose 2
Symptoms: Pregnancy
Release 11 — 3 months, dose 3
Symptoms: Sore throat
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 | COVID-19 | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release