K3V-59796-70929
4 vaccinations
4 coded responses
53 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 442 / OH
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Hypersomnia — Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slept alot last 24 hrs with mild nagging headache. Good nowMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-04
- 2021-12-09
- 2022-01-27
-
2022-05-23
Dose 4 — Moderna
-
2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-26
-
2022-05-27
Survey response — days 1–6 daily, dose 4MedDRA: Gastrointestinal disorder — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Excessive bowel movement but not diarrehaMedDRA releases: 2024-11 · check-in free text available
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-07-04
-
2022-08-22
Survey response — 3 months, dose 4MedDRA: Diverticulum, Gastric ulcer, Tendonitis — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Stomach ulcer and diverticulosis tendonitis in left legMedDRA releases: 2024-11 · check-in free text available
-
2022-08-22
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-23
-
2022-11-21
Survey response — 6 months, dose 4MedDRA: Arthropathy, Gastrointestinal disorder, Uterine dilation and curettage, Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Vaginal bleeding resulting in a DNC Additional Gastic issues Knee issues occurred. Future replacementMedDRA releases: 2024-11 · check-in free text available
-
2022-11-21
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-11-22
- 2022-11-22
- 2023-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-22 | Unsuccessful | |
| 2022-11-21 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slept alot last 24 hrs with mild nagging headache. Good now
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Excessive bowel movement but not diarreha
Release 12 — 3 months, dose 4
Symptoms: Stomach ulcer and diverticulosis tendonitis in left leg
Release 12 — 6 months, dose 4
Symptoms: Vaginal bleeding resulting in a DNC Additional Gastic issues Knee issues occurred. Future replacement
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 | Arthropathy | · | · | ✓ |
| SD | Diverticulum | · | · | ✓ |
| SD | Gastric ulcer | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SRO | Gastrointestinal disorder | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release