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2G8-10377-73814

4 vaccinations 8 coded responses 47 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
837 / ID
Registered
2021-01-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-23
    Dose 1 — Moderna
  2. 2021-01-24
    Registered in v-safe
  3. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  5. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching
    Free text: I had a yearly check with doc 2 days after vaccine. Gave me 2nd dose of pneumonia vaccine. Hubby says it makes the Covid vaccine less effective. True? Do you still want me to do this study?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-01-30
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-02-06
    Survey response — day 14, dose 1
    MedDRA: Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling — Feeling: Good
    Free text: On day 9 my arm was sore, red, and painful below the injection site. It is getting better, but still red and swollen. Now itching. I did receive my second pneumonia vaccine 3 days after my moderna when I went to dr for yearly checkup.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-20
    Dose 2 — Moderna
  13. 2021-02-20
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Severe watery diarrhea. Needed potassium supplement
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea, Dizziness — Feeling: Fair · Site: Pain · Chills, Diarrhea · Be unable to do your normal daily activities
    Free text: Major diarrhea....needed prescription k-tabs for light headedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  17. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-12
    Dose 3 — Moderna
  29. 2021-10-12
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-10-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  32. 2021-10-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  33. 2021-10-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  34. 2021-10-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-19
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-26
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-02
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-09
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-16
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-23
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-11
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-03-30
    Dose 4 — Moderna
  44. 2022-04-12
    Survey response — 6 months, dose 3
    MedDRA: Atrial fibrillation, Cardioversion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: A-fib, cardiavoversion procedure in March, cardiac ablation scheduled in May
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-15
    Survey response — day 14, dose 4
    MedDRA: Atrial fibrillation, Cardioversion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: A-fib, cardiacoversion (shocked my heart back into rhythm. Scheduled for electro cardiac ablation. See my electro cardiologist May 3.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-20
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-04-27
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-05-04
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-11
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-06-29
    Survey response — 3 months, dose 4
    MedDRA: Atrial fibrillation, Cardiac ablation, Cardioversion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: A-fib. Had my heart shocked back into sinus rhythm and had cardiac ablation yesterday.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-06-29
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  52. 2022-06-30
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  53. 2022-09-28
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2023-03-30
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-02-20Moderna
32021-10-12Moderna No
42022-03-30Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): I had a yearly check with doc 2 days after vaccine. Gave me 2nd dose of pneumonia vaccine. Hubby says it makes the Covid vaccine less effective. True? Do you still want me to do this study?

Release 3 — day 14, dose 1

2021-02-06

Symptoms: On day 9 my arm was sore, red, and painful below the injection site. It is getting better, but still red and swollen. Now itching. I did receive my second pneumonia vaccine 3 days after my moderna when I went to dr for yearly checkup.

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Severe watery diarrhea. Needed potassium supplement

2021-02-22

Systemic reaction (other): Major diarrhea....needed prescription k-tabs for light headedness

Release 10 — day 0, dose 3

2021-10-12

Systemic reaction (other): No

Release 11 — 6 months, dose 3

2022-04-12

Symptoms: A-fib, cardiavoversion procedure in March, cardiac ablation scheduled in May

Release 11 — day 14, dose 4

2022-04-15

Symptoms: A-fib, cardiacoversion (shocked my heart back into rhythm. Scheduled for electro cardiac ablation. See my electro cardiologist May 3.

Release 12 — 3 months, dose 4

2022-06-29

Symptoms: A-fib. Had my heart shocked back into sinus rhythm and had cardiac ablation yesterday.

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
SDAtrial fibrillation · · ✓
SDCardiac ablation · · ✓
SDCardioversion · · ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRONo adverse event · · ✓
SROUnevaluable event ✓ ✓ ✓

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