2KF-17648-97826
6 vaccinations
16 coded responses
79 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 334 / FL
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
- 2020-12-22
- 2020-12-23
-
2020-12-24
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Injection site pain — Feeling: Good · Site: PainFree text: More injection site pain yesterday. Also mild headache and fatigue that I chalked up to being tired after a long day at work. Much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-25
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2020-12-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection site pain has lessened daily and now is almost completely goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2021-01-05
- 2021-01-12
-
2021-01-19
Dose 2 — Moderna
-
2021-01-20
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: My temp Max was 98.8. High for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection site pain markedly less todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-04-20
- 2021-07-20
-
2021-09-20
Dose 3 — Moderna
- 2021-09-20
-
2021-09-21
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Much less injection site pain with #3!MedDRA releases: 2024-11 · check-in free text available
- 2021-09-22
-
2021-09-23
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site pain — Feeling: Good · Site: PainFree text: No redness today and scant pain at siteMedDRA releases: 2024-11 · check-in free text available
- 2021-09-24
- 2021-09-25
- 2021-09-26
- 2021-09-27
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-12-20
- 2022-03-21
-
2022-05-09
Dose 4 — Moderna
- 2022-05-09
-
2022-05-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-11
- 2022-05-12
- 2022-05-13
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
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2022-08-08
Survey response — 3 months, dose 4MedDRA: Cough, Influenza virus test negative, SARS-CoV-2 test, SARS-CoV-2 test negative, Sinusitis, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Major sinus infection, finally responded to Augmentin and a medrol dose pack. Slow onset. No fever. No headache. All in my head with post nasal drip causing a loose cough. Was home CoVid testing myself throughout this 3 week period & PCR & flu NEGMedDRA releases: 2024-11 · check-in free text available
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2022-08-08
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-09
- 2022-11-07
-
2022-11-14
Dose 5 — Moderna
- 2022-11-14
-
2022-11-15
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection site pain so mild it did not even require ice, Tylenol or ibuprofen!MedDRA releases: 2024-11 · check-in free text available
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-19
- 2022-11-20
-
2022-11-21
Survey response — day 7, dose 5MedDRA: Unevaluable event — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: I think it was something I ate at a party yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2022-11-28
- 2022-12-05
- 2022-12-12
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2022-12-19
Survey response — day 35, dose 5MedDRA: Cough, Laryngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Cough, laryngitis, runny nose. NO fever. Feel fine. CoVid neg x 2MedDRA releases: 2024-11 · check-in free text available
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2022-12-26
Survey response — day 42, dose 5MedDRA: Cough, Ear congestion, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sinus disorder, Upper-airway cough syndrome — Feeling: GoodFree text: Continued runny nose, stuffy ears and head. Crazy sinus issues. Occasional post nasal drip coughing has been a bit less this past week. No fever. No chest congestion. CoVid negative.MedDRA releases: 2024-11 · check-in free text available
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2023-02-13
Survey response — 3 months, dose 5MedDRA: Cough, Ear discomfort, Respiratory tract congestion, Rhinorrhoea, Sinus disorder, Upper-airway cough syndrome — Feeling: GoodMedDRA releases: 2024-11
-
2023-04-30
Dose 6 — Moderna
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2023-05-02
Survey response — days 1–6 daily, dose 6MedDRA: Unevaluable event — Feeling: Good · Site: PainMedDRA releases: 2024-11
- 2023-05-03
- 2023-05-04
- 2023-05-05
- 2023-05-06
- 2023-05-07
- 2023-05-14
- 2023-05-23
-
2023-05-28
Survey response — day 28, dose 6MedDRA: Cough, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-06-04
Survey response — day 35, dose 6MedDRA: Balance disorder, COVID-19, Cough, Ear discomfort — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-06-11
Survey response — day 42, dose 6MedDRA: Cough, Upper-airway cough syndrome — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna | |
| 3 | 2021-09-20 | Moderna | No |
| 4 | 2022-05-09 | Moderna | No |
| 5 | 2022-11-14 | Moderna | No |
| 6 | 2023-04-30 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): More injection site pain yesterday. Also mild headache and fatigue that I chalked up to being tired after a long day at work. Much better today.
Systemic reaction (other): Injection site pain has lessened daily and now is almost completely gone
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): My temp Max was 98.8. High for me
Systemic reaction (other): Injection site pain markedly less today
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Much less injection site pain with #3!
Systemic reaction (other): No redness today and scant pain at site
Release 12 — 3 months, dose 4
Symptoms: Major sinus infection, finally responded to Augmentin and a medrol dose pack. Slow onset. No fever. No headache. All in my head with post nasal drip causing a loose cough. Was home CoVid testing myself throughout this 3 week period & PCR & flu NEG
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Injection site pain so mild it did not even require ice, Tylenol or ibuprofen!
Release 12 — day 7, dose 5
Systemic reaction (other): I think it was something I ate at a party yesterday
Release 12 — day 35, dose 5
Symptoms: Cough, laryngitis, runny nose. NO fever. Feel fine. CoVid neg x 2
Release 12 — day 42, dose 5
Symptoms: Continued runny nose, stuffy ears and head. Crazy sinus issues. Occasional post nasal drip coughing has been a bit less this past week. No fever. No chest congestion. CoVid negative.
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 |
|---|---|---|---|---|
| SD | Balance disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release