25R-60288-18920
5 vaccinations
8 coded responses
30 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-21
Survey response — day 7, dose 1MedDRA: Pain in jaw — Feeling: Good · Joint painsFree text: Jaw painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Feeling hot, Swelling — Feeling: GoodFree text: My arm is still hot and a bit swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
-
2021-02-11
Dose 2 — Moderna
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Tremor — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Shaking - my hands and arms shook about an inch firchoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-20
- 2021-02-25
- 2021-03-09
- 2021-03-11
- 2021-03-20
- 2021-03-25
- 2021-05-13
- 2021-08-14
-
2021-10-30
Dose 3 — Moderna
- 2022-02-11
-
2022-04-14
Dose 4 — Moderna
- 2022-04-29
- 2022-05-05
- 2022-05-12
- 2022-05-19
-
2022-05-26
Survey response — day 42, dose 4MedDRA: Cough — Feeling: GoodFree text: coughingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-14
-
2022-09-10
Dose 5 — Pfizer-BioNTech
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2022-09-20
Survey response — day 7, dose 5MedDRA: Office visit — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: chiropractorMedDRA releases: 2024-11 · check-in free text available
-
2022-09-20
Report sent to call center — day 7, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-09-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-09-24
-
2022-10-01
Survey response — day 21, dose 5MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I think it is just an awful cold. Coughing, sore throat and tiredness. I did not test but the three other sick people in my house did and were negative so I assume I am.MedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Survey response — day 28, dose 5MedDRA: Chills, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a huge suprising reaction (chills and fever) to what was supposed to be a flu shot. I wonder if the pharmacy made a mistake and gave me another covid shot. I am worried that I did not get the flu shot. Is there any way to test for that?MedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
-
2022-10-22
Survey response — day 42, dose 5MedDRA: Nausea, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I think I had the flu I had fever, nausea and really awful achesMedDRA releases: 2024-11 · check-in free text available
- 2022-12-12
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Jaw pain
Release 2 — day 14, dose 1
Symptoms: My arm is still hot and a bit swollen
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Shaking - my hands and arms shook about an inch firchours
Release 11 — day 42, dose 4
Symptoms: coughing
Release 12 — day 7, dose 5
Healthcare visit (other): chiropractor
Release 12 — day 21, dose 5
Symptoms: I think it is just an awful cold. Coughing, sore throat and tiredness. I did not test but the three other sick people in my house did and were negative so I assume I am.
Release 12 — day 28, dose 5
Symptoms: I had a huge suprising reaction (chills and fever) to what was supposed to be a flu shot. I wonder if the pharmacy made a mistake and gave me another covid shot. I am worried that I did not get the flu shot. Is there any way to test for that?
Release 12 — day 42, dose 5
Symptoms: I think I had the flu I had fever, nausea and really awful aches
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release