FUL-33693-75648
1 vaccination
2 coded responses
11 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 597 / MT
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-13
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body achesAdult check-in
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Arthralgia, Fatigue, Injection site rash, Injection site swelling, Medical counselling, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A week after my injection, I experienced rash and swelling at my injection site suddenly. Mild joint aches and fatigue as well. · Healthcare visit (other): I work in healthcare, a PA ordered antibiotics just in case.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-27
- 2021-03-31
- 2021-07-09
-
2022-01-06
Survey response — 12 months, dose 1MedDRA: Ageusia, Anosmia, Cough, Office visit, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Loss of taste/smell, congestion, coughing, fever · Healthcare visit (other): OB/GYNMedDRA releases: 2024-11 · check-in free text available
-
2022-01-06
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-01-10
-
2022-01-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 2 — day 14, dose 1
Symptoms: A week after my injection, I experienced rash and swelling at my injection site suddenly. Mild joint aches and fatigue as well.
Healthcare visit (other): I work in healthcare, a PA ordered antibiotics just in case.
Release 10 — 12 months, dose 1
Symptoms: Loss of taste/smell, congestion, coughing, fever
Healthcare visit (other): OB/GYN
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release