2QW-26154-22037
3 vaccinations
6 coded responses
30 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 196 / PA
- Registered
- 2022-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2022-01-21
Dose 1 — Moderna
-
2022-01-27
Registered in v-safe
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2022-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Diarrhoea, Headache, Nausea, Pain, Pyrexia — Feeling: Fair · Site: Pain, SwellingFree text: 48 hrs after getting the vaccine I had fever, chills, diarrhea, nausea, headache, body aches that were severe and lasted for approximately 12hoursMedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Survey response — day 7, dose 1MedDRA: Herpes simplex, Oral herpes, Pre-existing disease — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: This is actually 1 week since my 1st dose. I have a hx of HSV type 1. For which I take suppression medication daily. In spite of that, I have had a sever exacerbation of cold sores covering almost my entire mouth, both externally and internally.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-04
- 2022-02-11
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2022-02-18
Dose 2 — Moderna
- 2022-02-18
-
2022-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2022-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymph node pain supraclavicular, pectoral, subclavian, are extremely painful. axillary and Epitrochlear mildly uncomfortable.MedDRA releases: 2024-11 · check-in free text available
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2022-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · HeadacheAdult check-in
- 2022-02-24
- 2022-02-25
- 2022-03-04
- 2022-03-11
-
2022-03-18
Survey response — day 28, dose 2MedDRA: Cough, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough shortness of breathMedDRA releases: 2024-11 · check-in free text available
- 2022-03-25
- 2022-04-01
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2022-05-20
Survey response — 3 months, dose 2MedDRA: SARS-CoV-2 test positive — Feeling: Poor · 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 consultationFree text: Tested positive for covidMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Report sent to call center — 3 months, dose 2Be 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 · 1 call case(s)
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2022-05-23
Call successfulNot applicable - Accidental Reporting
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2022-07-22
Dose 3 — Moderna
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2022-07-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-07-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2022-07-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-02
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2022-10-21
Survey response — 3 months, dose 3MedDRA: Asthma, Bronchitis, Cough, Dyspnoea, Fatigue, Office visit, Pre-existing disease, Respiratory syncytial virus infection — Feeling: Poor · Be unable to work or attend school, 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: Symptoms: Cough, shortness of breath, difficulty taking deep breaths, fatigue, asthma flare, Bronchitis, RSV · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-21 | Moderna | No |
| 2 | 2022-02-18 | Moderna | No |
| 3 | 2022-07-22 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 11 — days 1–6 daily, dose 1
Systemic reaction (other): 48 hrs after getting the vaccine I had fever, chills, diarrhea, nausea, headache, body aches that were severe and lasted for approximately 12hours
Release 11 — day 7, dose 1
Systemic reaction (other): This is actually 1 week since my 1st dose. I have a hx of HSV type 1. For which I take suppression medication daily. In spite of that, I have had a sever exacerbation of cold sores covering almost my entire mouth, both externally and internally.
Release 11 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph node pain supraclavicular, pectoral, subclavian, are extremely painful. axillary and Epitrochlear mildly uncomfortable.
Release 11 — day 28, dose 2
Symptoms: Cough shortness of breath
Release 11 — 3 months, dose 2
Symptoms: Tested positive for covid
Release 12 — 3 months, dose 3
Symptoms: Cough, shortness of breath, difficulty taking deep breaths, fatigue, asthma flare, Bronchitis, RSV
Healthcare visit (other): Office visit
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 | Office visit | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Herpes simplex | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Oral herpes | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release