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
-
2021-07-13
Dose 1 — Moderna
-
2021-08-05
Registered in v-safe
- 2021-08-05
-
2021-08-10
Survey response — day 28, dose 1MedDRA: 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 visitFree 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
-
2021-08-10
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
- 2021-08-17
-
2021-08-18
Dose 2 — Moderna
-
2021-08-19
Survey response — days 1–6 daily, dose 2MedDRA: 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 consultationFree text: Systemic reaction (other): Blurred vision most prominent in left eye · Healthcare visit (other): Eye doctor appointment scheduled for tomorrowMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-20
- 2021-08-21
- 2021-08-22
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-09-01
- 2021-09-08
- 2021-09-15
- 2021-09-22
- 2021-09-29
- 2021-11-17
-
2022-02-16
Survey response — 6 months, dose 2MedDRA: 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 activitiesFree 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
- 2022-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-13 | Moderna | No |
| 2 | 2021-08-18 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 9 — day 28, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Abdominal pain upper | ✓ | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Illness | ✓ | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Vision blurred | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release