262-22172-14100
3 vaccinations
4 coded responses
32 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 941 / CA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2021-12-27
Dose 3 — Moderna
- 2021-12-27
-
2021-12-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-12-29
- 2021-12-30
- 2021-12-31
- 2022-01-01
- 2022-01-02
- 2022-01-03
- 2022-01-10
- 2022-01-17
-
2022-01-24
Survey response — day 28, dose 3MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Positive covid test, mild symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-31
Survey response — day 35, dose 3MedDRA: Dyspnoea, Fatigue, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had a positive covid test on 1/22. My symptoms have been mild. Within the last few days I have experienced exhaustion and shortness of breath which I had not yet experienced at my last check in.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-07
-
2022-03-28
Survey response — 3 months, dose 3MedDRA: Aphonia, Nasopharyngitis — Feeling: GoodFree text: A cold that settled in my chest and resulted in losing my voice for a few weeksMedDRA releases: 2024-11 · check-in free text available
- 2022-06-27
-
2022-12-27
Survey response — 12 months, dose 3MedDRA: Office visit, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have had unexplained hives since Thanksgiving week. I can't link them to food, detergent, etc. I have never had hives in my life. · Healthcare visit (other): Just brining it to my regular dr's attention since it's so out of the ordinary.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-27
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-12-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — day 28, dose 3
Symptoms: Positive covid test, mild symptoms
Release 11 — day 35, dose 3
Symptoms: I had a positive covid test on 1/22. My symptoms have been mild. Within the last few days I have experienced exhaustion and shortness of breath which I had not yet experienced at my last check in.
Release 11 — 3 months, dose 3
Symptoms: A cold that settled in my chest and resulted in losing my voice for a few weeks
Release 12 — 12 months, dose 3
Symptoms: I have had unexplained hives since Thanksgiving week. I can't link them to food, detergent, etc. I have never had hives in my life.
Healthcare visit (other): Just brining it to my regular dr's attention since it's so out of the ordinary.
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 | Aphonia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release