HT5-89193-26575
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 841 / UT
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-29
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Just slightly muscle sore at injection site. Other symptoms were there before I came in. Just a regular day for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain — Feeling: Good · Site: PainFree text: Only pain at the injection site when touching or moving my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Minimal pain when touching injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Nasopharyngitis — Feeling: Good · Headache, Fatigue or tirednessFree text: Nasal swelling, mild cold-like nasal symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-04
- 2021-01-07
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Cough — Feeling: GoodFree text: Slight cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-30
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
- 2021-02-11
- 2021-03-04
-
2021-07-27
Survey response — 6 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy. · Healthcare visit (other): Prenatal careMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
-
2021-08-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-26
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: A handful of coldsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Just slightly muscle sore at injection site. Other symptoms were there before I came in. Just a regular day for me.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Only pain at the injection site when touching or moving my arm.
Systemic reaction (other): Minimal pain when touching injection site.
Systemic reaction (other): Nasal swelling, mild cold-like nasal symptoms.
Release 2 — day 21, dose 1
Symptoms: Slight cough.
Release 9 — 6 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: A handful of colds
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 | Office visit | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release