R66-27843-42217
3 vaccinations
7 coded responses
38 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 633 / MO
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
-
2021-04-07
Health check-in — day 0, dose 1Feeling: Poor · Site: Pain, Swelling · Fever · Fatigue or tirednessAdult check-in
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia, Self-medication — Feeling: Good · Site: PainFree text: Last night I had painful heartburn. I actually had that as a symptom when I had Covid-19 back in January. Not sure if thats related or from taking Tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-07
Dose 2 — Moderna
- 2021-05-07
- 2021-05-09
- 2021-05-10
- 2021-05-11
-
2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Migraine — Feeling: Fair · HeadacheFree text: Migraine with aura yesterday and today. Also not getting a lot of sleep, but thats not caused by vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-14
- 2021-05-22
- 2021-05-28
- 2021-06-04
- 2021-06-13
- 2021-06-18
- 2021-08-06
- 2021-11-05
-
2021-12-03
Dose 3 — Moderna
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-06
- 2021-12-07
- 2021-12-08
-
2021-12-10
Survey response — day 7, dose 3MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tirednessFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2021-12-24
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2021-12-31
Survey response — day 28, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Cold, tested Covid negativeMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Survey response — day 35, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Several long colds, both times testing negative for covidMedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
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2022-03-04
Survey response — 3 months, dose 3MedDRA: Knee operation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Knee surgeryMedDRA releases: 2024-11 · check-in free text available
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2022-03-04
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-03-11
- 2022-06-03
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2022-12-03
Survey response — 12 months, dose 3MedDRA: Lower limb fracture, Pregnancy, Surgery, Thrombosis — Feeling: Good · 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 visit, HospitalizationFree text: Broken leg and surgery, blood clot likely due to pregnancy+surgeryMedDRA releases: 2024-11 · check-in free text available
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2022-12-03
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-12-05
- 2022-12-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Last night I had painful heartburn. I actually had that as a symptom when I had Covid-19 back in January. Not sure if thats related or from taking Tylenol.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Migraine with aura yesterday and today. Also not getting a lot of sleep, but thats not caused by vaccine.
Release 10 — day 7, dose 3
Systemic reaction (other): Congestion
Release 10 — day 28, dose 3
Symptoms: Cold, tested Covid negative
Release 10 — day 35, dose 3
Symptoms: Several long colds, both times testing negative for covid
Release 11 — 3 months, dose 3
Symptoms: Knee surgery
Release 12 — 12 months, dose 3
Symptoms: Broken leg and surgery, blood clot likely due to pregnancy+surgery
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 | Knee operation | · | · | ✓ |
| SD | Lower limb fracture | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release