PWN-16332-80455
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 071 / NJ
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · ChillsAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Moderna
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Colitis ulcerative — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Ulcerative ColitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 28, dose 2MedDRA: Arthralgia, C-reactive protein increased, Helicobacter gastritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Joint pain · Healthcare visit (other): My CRP levels were high.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-23
- 2021-05-02
-
2021-06-20
Survey response — 3 months, dose 2MedDRA: Viral infection — 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 · Emergency room or emergency department visitFree text: Got 5th virusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-20
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-21
- 2021-06-21
-
2021-09-17
Survey response — 6 months, dose 2MedDRA: Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Myalgia · Healthcare visit (other): Doctor visitMedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Ulcerative Colitis
Release 7 — day 28, dose 2
Release 9 — 3 months, dose 2
Symptoms: Got 5th virus
Release 9 — 6 months, dose 2
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 | C-reactive protein increased | ✓ | · | ✓ |
| HCVO | Helicobacter gastritis | ○ | ✓ | ○ |
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Viral infection | ✓ | ✓ | ✓ |
| SRO | Colitis ulcerative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release