F56-18938-44311
3 vaccinations
2 coded responses
35 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 802 / CO
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Abdominal painAdult check-in
- 2021-03-29
-
2021-03-30
Health check-in — day 7, dose 1Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-30
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-04-06
- 2021-04-13
-
2021-04-19
Dose 2 — Moderna
-
2021-04-19
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Abdominal painAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-05-24
Survey response — day 35, dose 2MedDRA: Headache, Pain, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Headaches, UTI, body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-24
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-02
- 2021-07-19
- 2021-10-18
-
2021-10-31
Dose 3 — Moderna
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-08
- 2021-11-15
- 2021-11-21
- 2021-11-28
- 2021-12-07
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Covid, possible tumorMedDRA releases: 2024-11 · check-in free text available
-
2022-01-30
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
Call center
3 call center cases
2 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 8 — day 35, dose 2
Symptoms: Headaches, UTI, body aches
Release 11 — 3 months, dose 3
Symptoms: Covid, possible tumor
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 | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release