H7K-13908-83639
5 vaccinations
3 coded responses
50 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 018 / MA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia — Feeling: Fair · Site: Pain, Swelling · DiarrheaFree text: WeaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-12
Survey response — day 0, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Itching · Fever · Chills, HeadacheFree text: My body is itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Nausea, DiarrheaAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Nausea, DiarrheaAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-14
- 2021-03-19
- 2021-03-28
- 2021-05-16
- 2021-08-15
-
2021-09-05
Dose 3 — Moderna
-
2021-09-06
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-09-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-09-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-09-11
- 2021-09-12
- 2021-09-19
- 2021-09-26
- 2021-10-03
- 2021-10-10
- 2021-10-17
-
2021-12-07
Survey response — 3 months, dose 3MedDRA: Thrombocytopenic purpura — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Idiopathic thrombocytopenia purpuaMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Report sent to call center — 3 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 prHospitalization · 1 call case(s)
- 2021-12-08
-
2021-12-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-06
-
2022-07-22
Dose 4 — Moderna
- 2022-09-05
-
2022-11-11
Dose 5 — Pfizer-BioNTech
-
2022-11-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesAdult check-in
-
2022-11-13
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2022-11-14
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2022-11-15
- 2022-11-16
- 2022-11-18
- 2022-12-02
- 2022-12-11
- 2022-12-16
- 2022-12-23
- 2023-02-12
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-09-05 | Moderna | No |
| 4 | 2022-07-22 | Moderna | No |
| 5 | 2022-11-11 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Weakness
Release 4 — day 0, dose 2
Systemic reaction (other): My body is itchy
Release 10 — 3 months, dose 3
Symptoms: Idiopathic thrombocytopenia purpua
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 | Thrombocytopenic purpura | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release