2QD-19246-89166
4 vaccinations
6 coded responses
45 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 532 / WI
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
- 2021-03-17
-
2021-03-24
Survey response — day 14, dose 1MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · None · Be unable to do your normal daily activitiesAdult check-in
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Emergency care, Oral blood blister, Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Blood blister in my mouth. It happened all of a sudden after brushing my teeth at 10:30 p.m. It appeared near the back roof as domed sphere-like shape by the roof of my mouth. Alarmed that it would rupture, and never having anything similar happen, I went to the emergency room. My blood platelets were at about 225 and they said it was related to the fevers I experienced after having had the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Oral mucosal blistering — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I still have the blood blister in my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-07
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-06
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2021-11-11
Dose 3 — Moderna
- 2021-11-11
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-11
- 2021-12-16
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2021-12-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-25
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2022-02-10
Survey response — 3 months, dose 3MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I was sick between Dec 30-Jan 4MedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
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2022-10-19
Dose 4 — Pfizer-BioNTech
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2022-10-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
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2023-01-18
Survey response — 3 months, dose 4MedDRA: Cough, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-19
Survey response — 6 months, dose 4MedDRA: Bronchitis, COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-19
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-10-19 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 6 — day 14, dose 1
Symptoms: Sore throat
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Blood blister in my mouth. It happened all of a sudden after brushing my teeth at 10:30 p.m. It appeared near the back roof as domed sphere-like shape by the roof of my mouth. Alarmed that it would rupture, and never having anything similar happen, I went to the emergency room. My blood platelets were at about 225 and they said it was related to the fevers I experienced after having had the vaccine.
Systemic reaction (other): I still have the blood blister in my mouth
Release 11 — 3 months, dose 3
Symptoms: I was sick between Dec 30-Jan 4
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Oral blood blister | ✓ | ✓ | ✓ |
| SRO | Oral mucosal blistering | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release