ETW-16211-32079
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 970 / OR
- 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
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: Facial tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-11
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Cholecystitis, Pregnancy, Telemedicine — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): I had symptoms of RUQ pain and I'm pregnant and blood work and Ultrasound ordered to f/u for cholecystitis. Adjusting my diet has helped the symptoms over 24 hours. · Healthcare visit (other): Labs and telemedicine, imagingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-14
Survey response — day 7, dose 1MedDRA: Pain, Pregnancy — Feeling: GoodFree text: Pain that I think is related to pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
-
2021-01-28
Survey response — day 21, dose 1MedDRA: Pyrexia, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Low grade fever · Healthcare visit (other): Covid testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-04
Dose 2 — Moderna
- 2021-02-06
-
2021-02-06
Call successfulDoes not wish to fill out VAERS report
- 2021-02-18
- 2021-02-27
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Facial tingling
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I had symptoms of RUQ pain and I'm pregnant and blood work and Ultrasound ordered to f/u for cholecystitis. Adjusting my diet has helped the symptoms over 24 hours.
Healthcare visit (other): Labs and telemedicine, imaging
Release 2 — day 7, dose 1
Systemic reaction (other): Pain that I think is related to pregnancy
Release 2 — day 21, dose 1
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| HCVO | Telemedicine | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Cholecystitis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release