FA8-24665-31043
3 vaccinations
3 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 490 / MI
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-12
Registered in v-safe
-
2021-04-12
Survey response — day 7, dose 1MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itching in various parts of body. Some with rash, others without rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-08
- 2021-05-15
- 2021-05-20
- 2021-05-27
- 2021-07-29
-
2021-10-28
Survey response — 6 months, dose 2MedDRA: Increased upper airway secretion, Malaise, Nasopharyngitis — Feeling: Fair · Be unable to work or attend schoolFree text: Drainage down throat Blah feeling of a coldMedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Dose 3 — ModernaCo-administered: Flu
-
2022-12-10
Survey response — 12 months, dose 3MedDRA: Back pain, Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, 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: Lower back pain Cough and congestion that's lasted about 2 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-12-10
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-12-10 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Itching in various parts of body. Some with rash, others without rash
Release 10 — 6 months, dose 2
Symptoms: Drainage down throat Blah feeling of a cold
Release 12 — 12 months, dose 3
Symptoms: Lower back pain Cough and congestion that's lasted about 2 weeks
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 | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release