Y7B-15080-31347
4 vaccinations
5 coded responses
38 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 446 / OH
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-26
Registered in v-safe
- 2021-02-26
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
-
2021-03-17
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Just got shot a couple hours agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-10-26
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-10-30
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Site: Redness · HeadacheFree text: The headache is from the neighbors' meat smoker most likely.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-09
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2021-11-16
Survey response — day 21, dose 3MedDRA: Arthropod bite, Immunisation reaction, Injection site rash, Office visit — Feeling: GoodFree text: I have a new rash below where I got my booster. I originally had the COVID arm. This is different and may be from a bug bite or something. (b)(6) Clinic urgent care said it looked like a bite, but we can't figure out what it could have been.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-04
Dose 4 — Moderna
-
2022-04-19
Survey response — day 14, dose 4MedDRA: Cataract operation, Eye infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cataract surgery on 4/14/2022. Two days later, I had to go to a retinal specialist with an infection. Now, I'm in antibiotic eye drops hourly through the day. · Healthcare visit (other): Vitreous Retinal Consulting facilityMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
- 2022-10-03
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2023-04-04
Survey response — 12 months, dose 4MedDRA: Fungal foot infection, Pre-existing disease, Sinusitis — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-19 | Successful 2022-04-21 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Just got shot a couple hours ago
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The headache is from the neighbors' meat smoker most likely.
Release 10 — day 21, dose 3
Symptoms: I have a new rash below where I got my booster. I originally had the COVID arm. This is different and may be from a bug bite or something. (b)(6) Clinic urgent care said it looked like a bite, but we can't figure out what it could have been.
redacted (b)(6)
Release 11 — day 14, dose 4
Symptoms: Cataract surgery on 4/14/2022. Two days later, I had to go to a retinal specialist with an infection. Now, I'm in antibiotic eye drops hourly through the day.
Healthcare visit (other): Vitreous Retinal Consulting facility
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 | Office visit | · | · | ✓ |
| SD | Arthropod bite | · | · | ✓ |
| SD | Cataract operation | · | · | ✓ |
| SD | Eye infection | · | · | ✓ |
| SD | Fungal foot infection | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Injection site rash | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release