Y9F-30573-06571
5 vaccinations
7 coded responses
52 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 441 / OH
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Chills, Cough, Headache, Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Monday-had fever of 100.9 101.6, chills, and headache.Covid tested for work. Received results Wednesday-positive. Tuesday temp low grade, no chills, cough presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — day 21, dose 1MedDRA: Diarrhoea, Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea, dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-11
-
2021-02-18
Survey response — day 42, dose 1MedDRA: Cardiac flutter — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Heart flutteringlMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Report sent to call center — day 42, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-05-27
Survey response — 3 months, dose 2MedDRA: Cardiac flutter, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Heart fluttering. Spent a night in observation. The dosage of a medication I take was increased and it has lol essenes the fluttering I experience. · Healthcare visit (other): Ov ER night stay in the CDU at Fairview HospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-16
-
2021-06-17
Call successfulCompleted over the phone
- 2021-08-26
-
2021-12-16
Dose 3 — Moderna
- 2022-02-25
- 2022-03-17
- 2022-06-18
-
2022-07-12
Dose 4 — Moderna
- 2022-07-15
- 2022-07-16
- 2022-07-17
- 2022-07-18
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-08-09
-
2022-08-16
Survey response — day 35, dose 4MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2-3 days stomach virusMedDRA releases: 2024-11 · check-in free text available
- 2022-08-23
- 2022-10-11
-
2023-01-05
Dose 5 — Moderna
- 2023-01-10
- 2023-01-10
- 2023-01-11
- 2023-01-12
- 2023-01-19
- 2023-01-28
- 2023-02-02
- 2023-02-09
-
2023-02-16
Survey response — day 42, dose 5MedDRA: Epistaxis — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-07-12 | Moderna | No |
| 5 | 2023-01-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-18 | Successful | Completed over the phone |
| 2021-05-27 | Successful 2021-06-17 |
Completed over the phone |
Free text
Release 2 — day 14, dose 1
Symptoms: Monday-had fever of 100.9 101.6, chills, and headache.Covid tested for work. Received results Wednesday-positive. Tuesday temp low grade, no chills, cough present
Release 2 — day 21, dose 1
Symptoms: Diarrhea, dizziness
Release 4 — day 42, dose 1
Symptoms: Heart flutteringl
Release 8 — 3 months, dose 2
Symptoms: Heart fluttering. Spent a night in observation. The dosage of a medication I take was increased and it has lol essenes the fluttering I experience.
Healthcare visit (other): Ov ER night stay in the CDU at Fairview Hospital
Release 12 — day 35, dose 4
Symptoms: 2-3 days stomach virus
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release