EZ3-82917-44313
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 454 / OH
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Dose 1 — Moderna
-
2021-05-01
Registered in v-safe
-
2021-05-01
Dose 2 — Moderna
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2021-05-01
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tirednessFree text: Nasal congestion, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — day 7, dose 2MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Nasal congestion, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
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2021-06-12
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea, upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-31
Survey response — 3 months, dose 2MedDRA: Complication of pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Abnormal pregnancy, possibly molar pregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-31
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-03
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2021-10-30
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had symptoms of head cold in early September.MedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had covid in early-mid December.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-01 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Nasal congestion, sore throat
Release 8 — day 7, dose 2
Systemic reaction (other): Nasal congestion, sore throat
Release 9 — day 42, dose 2
Symptoms: Nausea, upset stomach
Release 9 — 3 months, dose 2
Symptoms: Abnormal pregnancy, possibly molar pregnancy
Release 10 — 6 months, dose 2
Symptoms: Had symptoms of head cold in early September.
Release 11 — 12 months, dose 2
Symptoms: Had covid in early-mid December.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Complication of pregnancy | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release