25Q-22041-88518
5 vaccinations
5 coded responses
60 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 156 / PA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Ear ache which may or may not be relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-29
Survey response — day 28, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Loose stool and some diarrhea most likely something I ate and not related to covid vaccine, but thought Id mention. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-12
-
2021-05-31
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Nephrolithiasis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Had a kidney stone. First one. Passed in about two weeks. Chronic diarrhea now under controlMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-31
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-09
Dose 4 — Moderna
- 2022-04-19
- 2022-04-23
- 2022-04-30
- 2022-05-07
-
2022-05-09
Call successfulNot applicable - Accidental Reporting
- 2022-05-14
- 2022-05-21
- 2022-07-09
-
2022-10-08
Survey response — 6 months, dose 4MedDRA: Foot operation, Hospitalisation, Localised infection, Medical counselling — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Infection in foot which required surgery and hospital stay and IV antibiotics, but not related to covid and did not get covid. · Healthcare visit (other): Home health careMedDRA releases: 2024-11 · check-in free text available
-
2022-10-08
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-10-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-21
Dose 5 — Pfizer-BioNTech
- 2022-10-21
-
2022-10-22
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2023-01-20
-
2023-04-21
Survey response — 6 months, dose 5MedDRA: Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
| 5 | 2022-10-21 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Ear ache which may or may not be related
Release 6 — day 28, dose 2
Symptoms: Loose stool and some diarrhea most likely something I ate and not related to covid vaccine, but thought Id mention. No fever.
Release 8 — 3 months, dose 2
Symptoms: Had a kidney stone. First one. Passed in about two weeks. Chronic diarrhea now under control
Release 12 — 6 months, dose 4
Symptoms: Infection in foot which required surgery and hospital stay and IV antibiotics, but not related to covid and did not get covid.
Healthcare visit (other): Home health care
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 | Medical counselling | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Foot operation | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Localised infection | · | · | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release