EYN-30229-96790
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 027 / MA
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-28
Registered in v-safe
-
2021-04-28
Dose 1 — Moderna
- 2021-04-28
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Fatigue or tirednessFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-19
-
2021-05-26
Dose 2 — Moderna
- 2021-05-26
- 2021-06-02
-
2021-06-09
Survey response — day 14, dose 2MedDRA: Chest pain, Cough, Fatigue, Headache, Nasal congestion, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe cold like symptoms and pneumonia like symptoms. Bad cough, very very stuffy, chest pain from coughing. Headache. Exhaustion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-16
Survey response — day 21, dose 2MedDRA: Unevaluable event — Feeling: FairFree text: Pretty sure I have pneumonia but it seems to be going away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-23
- 2021-06-30
- 2021-07-07
- 2021-08-25
- 2021-11-24
-
2022-05-28
Survey response — 12 months, dose 2MedDRA: Intracranial aneurysm, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Brain aneurysm · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-05-28
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-05-31
-
2022-06-02
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 | 2021-04-28 | Moderna | |
| 2 | 2021-05-26 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy
Release 8 — day 14, dose 2
Symptoms: Severe cold like symptoms and pneumonia like symptoms. Bad cough, very very stuffy, chest pain from coughing. Headache. Exhaustion.
Release 9 — day 21, dose 2
Symptoms: Pretty sure I have pneumonia but it seems to be going away.
Release 11 — 12 months, dose 2
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 | Surgery | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Intracranial aneurysm | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release