ZZH-26406-96025
5 vaccinations
6 coded responses
67 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 371 / TN
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-03-13
Registered in v-safe
- 2021-03-13
- 2021-03-14
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Seasonal allergies symptoms have commencedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Developed a severe headache overnight that subsided by 10-11amMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to workFree text: HeartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-08
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
-
2021-11-12
Survey response — day 14, dose 3MedDRA: Cough, Diverticulitis — Feeling: Fair · Be unable to work or attend schoolFree text: Bout of diverticulitis and coughing for 24 hoursMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-04-22
Dose 4 — Moderna
- 2022-04-22
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
-
2022-05-13
Survey response — day 21, dose 4MedDRA: Constipation, Fatigue, Gastrointestinal disorder, Pain, Pyrexia, Sleep disorder, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Gut health issues, had bout of what may have been diverticulitis with four days of pain, difficulty with stool (constipation) and ran a fever for one day. Also fatigue due to sleep issues because of pain. Doctor appt made for May 20 due to wait list · Healthcare visit (other): Still waiting, long wait list so appt is May 20MedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-16
-
2022-05-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-09-16
Dose 5 — Moderna
- 2022-09-16
-
2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
-
2022-10-14
Survey response — day 28, dose 5MedDRA: Diarrhoea, Diverticulitis — Feeling: Good · Be unable to work or attend schoolFree text: Active bout of diverticulitis and diarrhea for a full 6 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-09-16 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Seasonal allergies symptoms have commenced
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Developed a severe headache overnight that subsided by 10-11am
Systemic reaction (other): Heartburn
Release 10 — day 14, dose 3
Symptoms: Bout of diverticulitis and coughing for 24 hours
Release 11 — day 21, dose 4
Symptoms: Gut health issues, had bout of what may have been diverticulitis with four days of pain, difficulty with stool (constipation) and ran a fever for one day. Also fatigue due to sleep issues because of pain. Doctor appt made for May 20 due to wait list cut off by CDC
Healthcare visit (other): Still waiting, long wait list so appt is May 20
Release 12 — day 28, dose 5
Symptoms: Active bout of diverticulitis and diarrhea for a full 6 days.
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 | Unevaluable event | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release