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LVA-16080-95764

3 vaccinations 6 coded responses 31 check-ins 6 free-text entries 5 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
786 / TX
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Registered in v-safe
  2. 2021-02-02
    Dose 1 — Moderna
  3. 2021-02-02
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nephrolithiasis, Renal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pain in kidney- possible kidney stone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-04
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-02
    Dose 2 — Moderna
  14. 2021-03-02
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  16. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nephrolithiasis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Kidney stone -first one appeared after first shot and no trouble again until second shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-06
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bladder pain — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: Bladder pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-09
    Survey response — day 7, dose 2
    MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: UTI (only second in lifetime- may be related? )
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-09
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-03-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-28
  29. 2021-06-28
  30. 2021-06-28
  31. 2021-08-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2021-12-10
    Dose 3 — Moderna
  33. 2021-12-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-24
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  35. 2022-01-01
    Survey response — day 21, dose 3
    MedDRA: Office visit, Pregnancy — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I'm nauseated and vomiting but also 11 weeks pregnant, so it's not unexpected. I got the booster shot after knowing I was pregnant, at the encouragement of my OB. Because my symptoms have increased, I couldn't answer the question as "no". · Healthcare visit (other): Office visit with OB
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-01-01
    Report sent to call center — day 21, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  37. 2022-01-07
  38. 2022-01-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-03-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-06-10
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-12-10
    Survey response — 12 months, dose 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Congestion and cough
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-12-10
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  45. 2022-12-13
  46. 2022-12-13
  47. 2022-12-13
  48. 2022-12-13
  49. 2022-12-13

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna
32021-12-10Moderna No

Call center

5 call center cases

5 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Pain in kidney- possible kidney stone

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Kidney stone -first one appeared after first shot and no trouble again until second shot

2021-03-07

Systemic reaction (other): Bladder pain

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): UTI (only second in lifetime- may be related? )

Release 10 — day 21, dose 3

2022-01-01

Symptoms: I'm nauseated and vomiting but also 11 weeks pregnant, so it's not unexpected. I got the booster shot after knowing I was pregnant, at the encouragement of my OB. Because my symptoms have increased, I couldn't answer the question as "no".
Healthcare visit (other): Office visit with OB

Release 12 — 12 months, dose 3

2022-12-10

Symptoms: Congestion and cough

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
HCVOOffice visit · · ✓
SDCough · · ✓
SDPregnancy · · ✓
SDRespiratory tract congestion · · ✓
SROBladder pain ✓ ✓ ✓
SRONephrolithiasis ✓ ✓ ✓
SRORenal pain ✓ ✓ ✓
SROUrinary tract infection ✓ ✓ ✓

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