2RW-31949-13270
5 vaccinations
4 coded responses
49 check-ins
4 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 607 / IL
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
-
2021-02-27
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Severe itching at the vaccination sight for 3 days. Its better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — day 21, dose 1MedDRA: Adverse reaction, Medical counselling, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: At 2 weeks after my vaccination I had some of the symptoms described as possible right aftervaccination. I contacted PCC where I got the vaccine and spoke to a Doctor who said it was too late and suggested a Covid test, which was the negative. · Healthcare visit (other): Covid testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-28
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-10-24
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-13
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-12
Dose 4 — Moderna
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-05
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-07-12
-
2022-09-21
Dose 5 — Moderna
- 2022-10-11
- 2022-10-22
-
2022-10-26
Survey response — day 35, dose 5MedDRA: Ear discomfort, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: I have a head cold that is making my ears feel clogged. I took a Covid home test, it was negative. Don't think the cold is connected to my vaccination.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
-
2022-12-21
Survey response — 3 months, dose 5MedDRA: Ear disorder — Feeling: GoodFree text: I am having a problem with my right ear. Possibly a hole in my membrane.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
| 5 | 2022-09-21 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Severe itching at the vaccination sight for 3 days. Its better now.
Release 5 — day 21, dose 1
Symptoms: At 2 weeks after my vaccination I had some of the symptoms described as possible right aftervaccination. I contacted PCC where I got the vaccine and spoke to a Doctor who said it was too late and suggested a Covid test, which was the negative.
Healthcare visit (other): Covid test
Release 12 — day 35, dose 5
Symptoms: I have a head cold that is making my ears feel clogged. I took a Covid home test, it was negative. Don't think the cold is connected to my vaccination.
Release 12 — 3 months, dose 5
Symptoms: I am having a problem with my right ear. Possibly a hole in my membrane.
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Ear disorder | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release