296-12509-98300
4 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 150 / PA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Rash — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Severe rash in my armpits after 1st shot. Cleared up in a few days. No rash with 2nd shot. Pain at injection site in arm mostly on the first two days both times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-18
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-06-12
Survey response — 3 months, dose 2MedDRA: Impaired work ability, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had a severe sore throat and very stuffy nose a couple months ago. I had a Covid test, which was negative. I believe it was just a nasty head cold. I only missed one day of work and was completely fine in a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-11
-
2021-10-27
Dose 3 — Pfizer-BioNTech
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-27
Survey response — 6 months, dose 3MedDRA: Abdominal discomfort, Chills, Headache, Medical counselling, Nausea, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I tested positive for Covid 19 on Tuesday, April 26, 2022. I have been experiencing congestion, sore throat, headache, stomach upset, nausea, and chills. And I have a fever of 101. · Healthcare visit (other): Phone ConsultMedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-04-29
- 2022-05-02
-
2022-09-16
Dose 4 — Pfizer-BioNTech
- 2022-09-25
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
-
2022-12-16
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: I have a head cold with congestion and a sore throat, but I tested negative for Covid, and I went to work today.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-27 | Pfizer-BioNTech | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Severe rash in my armpits after 1st shot. Cleared up in a few days. No rash with 2nd shot. Pain at injection site in arm mostly on the first two days both times.
Release 9 — 3 months, dose 2
Symptoms: I had a severe sore throat and very stuffy nose a couple months ago. I had a Covid test, which was negative. I believe it was just a nasty head cold. I only missed one day of work and was completely fine in a week.
Release 11 — 6 months, dose 3
Symptoms: I tested positive for Covid 19 on Tuesday, April 26, 2022. I have been experiencing congestion, sore throat, headache, stomach upset, nausea, and chills. And I have a fever of 101.
Healthcare visit (other): Phone Consult
Release 12 — 3 months, dose 4
Symptoms: I have a head cold with congestion and a sore throat, but I tested negative for Covid, and I went to work today.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release