LDW-31225-67514
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 421 / KY
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
U5X-56581-69505
Adult relative or friend · Female · 2021-07-15
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-26
Survey response — day 14, dose 1MedDRA: Injection site bruising, Injection site erythema, Injection site reaction, Skin reaction — Feeling: GoodFree text: Nothing big, just now a bruised looking spot showed up at injection site. Slightly visible red area. Seems like delayed reactionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 21, dose 1MedDRA: Lacrimation increased, Nasal congestion, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: FairFree text: Probably seasonal allergies. Runny, stuffy nose, sneezing, , watery eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Redness · Joint pains, Muscle or body aches, Abdominal painAdult check-in
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Good · Site: Redness · Headache, Joint pains, Muscle or body aches, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Weird taste in mouth since 2nd vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — day 7, dose 2Feeling: Fair · Site: Redness · Diarrhea, Abdominal painAdult check-in
- 2021-03-26
-
2021-04-02
Survey response — day 21, dose 2MedDRA: Pre-existing disease — Feeling: FairFree text: Seasonal allergy symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-04-24
-
2021-12-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — day 14, dose 1
Symptoms: Nothing big, just now a bruised looking spot showed up at injection site. Slightly visible red area. Seems like delayed reaction
Release 5 — day 21, dose 1
Symptoms: Probably seasonal allergies. Runny, stuffy nose, sneezing, , watery eyes
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Weird taste in mouth since 2nd vaccination
Release 6 — day 21, dose 2
Symptoms: Seasonal allergy symptoms
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 | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Skin reaction | ✓ | ✓ | ○ |
| SD | Sneezing | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release