2UC-92480-85180
4 vaccinations
5 coded responses
31 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 704 / LA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
-
2021-01-26
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just a mildly sore arm at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-09
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Lymphadenopathy, Oedema peripheral — Feeling: GoodFree text: On the 7th night post-injection, the injection site started itching, and the lymph node in the underarm area of that arm was swollen. No rash, just itching, resolved after 4 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-25
- 2021-03-31
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-11-23
Dose 3 — Moderna
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2022-02-23
Survey response — 12 months, dose 2MedDRA: COVID-19, Gastrointestinal disorder, Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend schoolFree text: Started with covid symptoms on 1/29/22. Tested positive for covid on 1/30/22. Tested negative on 2/7/22. GI issues with low grade fever on 2/19/22, improved as of 2/22/22.MedDRA releases: 2024-11 · check-in free text available
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2022-09-17
Dose 4 — Moderna
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2022-10-17
Survey response — day 28, dose 4MedDRA: Influenza virus test negative, SARS-CoV-2 test negative, Sinusitis — 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 · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with a sinus infection, tested negative for covid and fluMedDRA releases: 2024-11 · check-in free text available
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2022-10-17
Report sent to call center — day 28, dose 4Be 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)
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2022-10-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-22
- 2022-10-29
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2022-12-17
Survey response — 3 months, dose 4MedDRA: Bronchitis, Influenza virus test negative, Respiratory tract infection, SARS-CoV-2 test negative — 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 · Outpatient clinic or urgent care clinic visitFree text: I had bronchitis from a respiratory infection (negative for covid and flu) about 2 weeks agoMedDRA releases: 2024-11 · check-in free text available
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2022-12-17
Report sent to call center — 3 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-09-17 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Just a mildly sore arm at injection site
Release 3 — day 14, dose 1
Symptoms: On the 7th night post-injection, the injection site started itching, and the lymph node in the underarm area of that arm was swollen. No rash, just itching, resolved after 4 days
Release 11 — 12 months, dose 2
Symptoms: Started with covid symptoms on 1/29/22. Tested positive for covid on 1/30/22. Tested negative on 2/7/22. GI issues with low grade fever on 2/19/22, improved as of 2/22/22.
Release 12 — day 28, dose 4
Symptoms: Diagnosed with a sinus infection, tested negative for covid and flu
Release 12 — 3 months, dose 4
Symptoms: I had bronchitis from a respiratory infection (negative for covid and flu) about 2 weeks ago
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 | COVID-19 | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ○ | ✓ | ○ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release