2DT-70588-19942
4 vaccinations
5 coded responses
24 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 919 / CA
- Registered
- 2021-05-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Moderna
-
2021-05-02
Registered in v-safe
- 2021-05-02
-
2021-05-03
Dose 2 — Moderna
-
2021-05-03
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Chills, HeadacheAdult check-in
-
2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Forgot to mention sore finger joints yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Visual impairment — Feeling: Good · Site: PainFree text: Not sure if it has to do with vaccine or not, but my 3D vision is off. Normally I can look at 3D pictures and the items poking out are clearly defined.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-08-02
- 2021-11-01
-
2021-11-24
Dose 3 — Moderna
- 2022-05-03
-
2022-09-28
Dose 4 — Pfizer-BioNTech
- 2022-10-08
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
-
2022-12-28
Survey response — 3 months, dose 4MedDRA: Chills, Cough, Fatigue, Headache, Influenza, Influenza A virus test negative, Influenza B virus test negative, Medical counselling, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I had flu symptoms of chills, 101 fever, fatigue, sore throat, coughing, headache, some runny nose. · Healthcare visit (other): Got tested for Covid, Flu A, and Flu B. Was also prescribed Tamiflu at my request, which really seemed to help. However, was told to quit taking it when my test results showed Negative for all three.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-28
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-29
-
2022-12-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-03-29
Survey response — 6 months, dose 4MedDRA: Body temperature decreased, Chills, Cough, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-29
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-30
-
2023-04-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-03 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-09-28 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): lack of appetite
Systemic reaction (other): Forgot to mention sore finger joints yesterday
Systemic reaction (other): Not sure if it has to do with vaccine or not, but my 3D vision is off. Normally I can look at 3D pictures and the items poking out are clearly defined.
Release 12 — 3 months, dose 4
Symptoms: I had flu symptoms of chills, 101 fever, fatigue, sore throat, coughing, headache, some runny nose.
Healthcare visit (other): Got tested for Covid, Flu A, and Flu B. Was also prescribed Tamiflu at my request, which really seemed to help. However, was told to quit taking it when my test results showed Negative for all three.
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 | Influenza A virus test negative | · | · | ✓ |
| HCVO | Influenza B virus test negative | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Body temperature decreased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release