E96-91465-44450
3 vaccinations
4 coded responses
16 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 440 / OH
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-12
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Survey response — day 28, dose 1MedDRA: Urinary tract infection — Feeling: GoodFree text: UTI like symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Dose 2 — Moderna
- 2021-02-13
-
2021-02-19
Survey response — day 14, dose 2MedDRA: Urinary tract infection — Feeling: FairFree text: UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
-
2021-03-12
Survey response — day 35, dose 2MedDRA: Urinary tract infection — Feeling: FairFree text: UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-05-07
Survey response — 3 months, dose 2MedDRA: Hepatic enzyme increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Elevated LFTsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-06
-
2021-11-12
Dose 3 — Moderna
- 2022-02-05
-
2022-04-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 28, dose 1
Symptoms: UTI like symptoms
Release 4 — day 14, dose 2
Symptoms: UTI
Release 5 — day 35, dose 2
Symptoms: UTI
Release 8 — 3 months, dose 2
Symptoms: Elevated LFTs
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 | Hepatic enzyme increased | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release