ZZ5-26574-55752
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 956 / CA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 1 — Moderna
-
2021-02-06
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: Good · HeadacheFree text: I had dental work done today so my headache is related to thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Pre-existing disease, Self-medication, Sinus disorder — Feeling: Fair · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Ive had a headache since before my injection. I think its a sinus problem. · Healthcare visit (other): Tried to get in to see my N.P. Tried Advil cold and Sinus medication plus nasal lavageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-07
Dose 2 — Moderna
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-16
- 2021-03-21
- 2021-03-28
- 2021-04-06
- 2021-07-17
-
2021-09-07
Survey response — 6 months, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Feet ache on the top upon waking. Noticed this for several days a month ago but has subsided. It felt like something had dropped on my feet, but not sensitive to touch and no bruising.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-07 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): I had dental work done today so my headache is related to that
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Ive had a headache since before my injection. I think its a sinus problem.
Healthcare visit (other): Tried to get in to see my N.P. Tried Advil cold and Sinus medication plus nasal lavage
Release 9 — 6 months, dose 2
Symptoms: Feet ache on the top upon waking. Noticed this for several days a month ago but has subsided. It felt like something had dropped on my feet, but not sensitive to touch and no bruising.
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 | Fatigue | ✓ | ✓ | ○ |
| HCVO | Self-medication | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ○ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ○ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release