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2GG-25156-05735

4 vaccinations 11 coded responses 25 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
245 / VA
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Moderna
  2. 2021-02-10
    Dose 2 — Moderna
  3. 2021-02-11
    Registered in v-safe
  4. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  6. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion — Feeling: Good
    Free text: Nose congested
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion, Nausea, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Itching · Headache, Nausea
    Free text: (Brief nausea) Stuffy nose, runny nose, sneezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches
    Adult check-in
  9. 2021-02-17
    Survey response — day 7, dose 2
    MedDRA: Nasal congestion, Rhinorrhoea, Sneezing — Feeling: Poor · Headache, Fatigue or tiredness
    Free text: Nose dripping bad, sneezing bad, stuffy some
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-03-10
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Pain, Pyrexia — Feeling: Good
    Free text: Felt feverish started late afternoon 3-6-21 ended when woke up 3-8-21Body aches started late afternoon 3-6-21 ended when woke 3-8-21Fatigued started late afternoon 3-6-21 ended when woke 3-8-21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-14
    Survey response — 3 months, dose 2
    MedDRA: Pain, Pyrexia — Feeling: Poor
    Free text: I feel feverish and have body aches since late night.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-12-10
    Dose 3 — Moderna
  18. 2022-02-12
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Covid + omicron
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-11-12
    Dose 4 — Moderna
  20. 2022-11-16
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chills, Feeling cold, Injection site pain, Injection site warmth — Feeling: Good
    Free text: Day after only symptoms were warm and tenderness at shot site, cold chills
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-11-17
    Survey response — days 1–6 daily, dose 4
    MedDRA: Unevaluable event — Feeling: Good
    Free text: (This is the bivalent booster)
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-11-18
    Survey response — days 1–6 daily, dose 4
    MedDRA: Feeling hot — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: I just feel feverish but I'm not
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-11-19
    Health check-in — day 7, dose 4
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  24. 2022-11-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-12-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-12-10
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-12-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-12-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2023-02-11
    Survey response — 3 months, dose 4
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  30. 2023-05-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna
32021-12-10Moderna No
42022-11-12Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Runny nose

2021-02-13

Systemic reaction (other): Nose congested

2021-02-15

Systemic reaction (other): (Brief nausea) Stuffy nose, runny nose, sneezing

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Nose dripping bad, sneezing bad, stuffy some

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Felt feverish started late afternoon 3-6-21 ended when woke up 3-8-21Body aches started late afternoon 3-6-21 ended when woke 3-8-21Fatigued started late afternoon 3-6-21 ended when woke 3-8-21

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: I feel feverish and have body aches since late night.

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Covid + omicron

Release 12 — days 1–6 daily, dose 4

2022-11-16

Systemic reaction (other): Day after only symptoms were warm and tenderness at shot site, cold chills

2022-11-17

Systemic reaction (other): (This is the bivalent booster)

2022-11-18

Systemic reaction (other): I just feel feverish but I'm not

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
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROChills · · ✓
SROFeeling cold · · ✓
SROFeeling hot · · ✓
SROInjection site pain · · ✓
SROInjection site warmth · · ✓
SRONasal congestion ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSneezing ✓ ✓ ✓
SROUnevaluable event · · ✓

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