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29C-23272-11793

5 vaccinations 6 coded responses 32 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
451 / OH
Registered
2021-01-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-04
    Registered in v-safe
  2. 2021-01-04
    Dose 1 — Moderna
  3. 2021-01-04
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-01
    Dose 2 — Moderna
  13. 2021-02-08
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-05
    Survey response — 3 months, dose 2
    MedDRA: Chest X-ray abnormal, Cough, Dyspnoea, Hospitalisation, Office visit, Pneumothorax, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Cough, SOB. Saw APN day 3 of symptoms: covid negative. Started inhalers, singulair. Persisted 2 weeks. Saw PCP. Cxray showed tension pneumothorax. Admitted for chest tube decompression of pneumothorax. Now waiting to be DC home · Healthcare visit (other): Residual sl cough after CT removal. Repeat cxray in 1 week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-05
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-08-04
    Survey response — 6 months, dose 2
    MedDRA: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good
    Free text: Sore throat, congestion. Covid tested negative before returning to work.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-12-16
    Dose 3 — Pfizer-BioNTech
  23. 2021-12-30
  24. 2022-02-03
    Survey response — 12 months, dose 2
    MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Nasal congestion, runny nose.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-06-13
    Dose 4 — Pfizer-BioNTech
  26. 2022-09-20
    Dose 5 — Pfizer-BioNTech
  27. 2022-09-20
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2022-09-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  29. 2022-09-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Headache
    Adult check-in
  30. 2022-09-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  31. 2022-09-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  32. 2022-09-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  33. 2022-09-27
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  34. 2022-10-04
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  35. 2022-10-11
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  36. 2022-10-18
    Survey response — day 28, dose 5
    MedDRA: Cough, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: Good
    Free text: Post nasal drip, very intermittent cough . No fever, aches, or sore throat. Home Covid tests x 2 negative. Walgreens Covid test day before returning to work negative as well. Cleared to return to work
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-10-25
    Survey response — day 35, dose 5
    MedDRA: Cough — Feeling: Good
    Free text: Mild intermittent cough started week ago.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-11-01
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  39. 2022-12-20
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  40. 2023-03-21
    Survey response — 6 months, dose 5
    MedDRA: Pneumothorax spontaneous — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    MedDRA releases: 2024-11
  41. 2023-03-21
    Report sent to call center — 6 months, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  42. 2023-03-23
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  43. 2023-03-23
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-02-01Moderna
32021-12-16Pfizer-BioNTech No
42022-06-13Pfizer-BioNTech No
52022-09-20Pfizer-BioNTech No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Cough, SOB. Saw APN day 3 of symptoms: covid negative. Started inhalers, singulair. Persisted 2 weeks. Saw PCP. Cxray showed tension pneumothorax. Admitted for chest tube decompression of pneumothorax. Now waiting to be DC home
Healthcare visit (other): Residual sl cough after CT removal. Repeat cxray in 1 week

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Sore throat, congestion. Covid tested negative before returning to work.

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: Nasal congestion, runny nose.

Release 12 — day 28, dose 5

2022-10-18

Symptoms: Post nasal drip, very intermittent cough . No fever, aches, or sore throat. Home Covid tests x 2 negative. Walgreens Covid test day before returning to work negative as well. Cleared to return to work

Release 12 — day 35, dose 5

2022-10-25

Symptoms: Mild intermittent cough started week ago.

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

FieldPreferred term2021-092023-042024-11
HCVOCough ✓ ✓ ✓
SDChest X-ray abnormal ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDNasal congestion · · ✓
SDOffice visit ✓ ✓ ✓
SDOropharyngeal pain ✓ · ✓
SDPneumothorax ✓ ✓ ✓
SDPneumothorax spontaneous · · ✓
SDRespiratory tract congestion ✓ · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDUpper-airway cough syndrome · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release