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LDV-21871-76925

2 vaccinations 3 coded responses 18 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
895 / NV
Registered
2021-08-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-13
    Dose 1 — Moderna
  2. 2021-08-05
    Registered in v-safe
  3. 2021-08-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-08-10
    Survey response — day 28, dose 1
    MedDRA: Abdominal pain upper, Emergency care, Illness — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Stomach ache, went to ER this morning for it and it doesnt seem to be pregnancy related just ill.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-10
    Report sent to call center — day 28, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-08-12
  7. 2021-08-17
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-08-18
    Dose 2 — Moderna
  9. 2021-08-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event, Vision blurred — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Blurred vision most prominent in left eye · Healthcare visit (other): Eye doctor appointment scheduled for tomorrow
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-08-19
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-08-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-08-20
  13. 2021-08-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-08-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-08-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-08-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-08-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-09-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-02-16
    Survey response — 6 months, dose 2
    MedDRA: Ageusia, Anosmia, Brain fog, COVID-19, Chills, Cough, Migraine, Oropharyngeal pain, Pain, Respiratory tract congestion, Wheezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Positive for Covid-19. Had cough, wheezing, chills, migraine, body ache, congestion, sore throat loss of taste and smell, and brain fog.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-08-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-13Moderna No
22021-08-18Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — day 28, dose 1

2021-08-10

Symptoms: Stomach ache, went to ER this morning for it and it doesnt seem to be pregnancy related just ill.

Release 9 — days 1–6 daily, dose 2

2021-08-19

Systemic reaction (other): Blurred vision most prominent in left eye
Healthcare visit (other): Eye doctor appointment scheduled for tomorrow

Release 11 — 6 months, dose 2

2022-02-16

Symptoms: Positive for Covid-19. Had cough, wheezing, chills, migraine, body ache, congestion, sore throat loss of taste and smell, and brain fog.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ · ✓
SDAbdominal pain upper ✓ · ✓
SDAgeusia · · ✓
SDAnosmia · · ✓
SDBrain fog · · ✓
SDChills · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDEmergency care ✓ · ✓
SDIllness ✓ · ✓
SDMigraine · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDRespiratory tract congestion · · ✓
SDWheezing · · ✓
SROVision blurred ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release