TV5-13571-57324
3 vaccinations
8 coded responses
33 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 489 / MI
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, NauseaFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-18
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-04-22
-
2021-04-29
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Very fatigued yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
-
2021-07-15
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: Cold symptomsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-14
Survey response — 6 months, dose 2MedDRA: Cough, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, runny nose.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-18
-
2021-11-04
Dose 3 — Moderna
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
-
2021-12-02
Survey response — day 28, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Mild runny nose today.MedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — day 35, dose 3MedDRA: Cough, Headache, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny & stuffy nose, headache, sore throat, coughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-16
-
2022-02-03
Survey response — 3 months, dose 3MedDRA: Dyspnoea exertional, Fatigue, Pregnancy, Tachycardia — Feeling: FairFree text: Fatigue, tachycardia, mild sob w/ mild activity (likely from 3rd trimester pregnancy)MedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Survey response — 6 months, dose 3MedDRA: Delivery — 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, HospitalizationFree text: Delivered a healthy baby on 3/20.MedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-05-06
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Anxiety
Release 8 — day 14, dose 2
Symptoms: Very fatigued yesterday.
Release 9 — 3 months, dose 2
Symptoms: Cold symptoms
Release 10 — 6 months, dose 2
Symptoms: Cough, runny nose.
Release 10 — day 28, dose 3
Symptoms: Mild runny nose today.
Release 10 — day 35, dose 3
Symptoms: Runny & stuffy nose, headache, sore throat, cough
Release 11 — 3 months, dose 3
Symptoms: Fatigue, tachycardia, mild sob w/ mild activity (likely from 3rd trimester pregnancy)
Release 11 — 6 months, dose 3
Symptoms: Delivered a healthy baby on 3/20.
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 | Cough | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release