2VM-48348-97869
3 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 200 / DC
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Dose 1 — Moderna
-
2021-03-28
Registered in v-safe
-
2021-03-28
Dose 2 — Moderna
-
2021-03-28
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain — Feeling: Good · Muscle or body achesFree text: Lower back and hip pain since second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-04-27
- 2021-05-04
- 2021-05-09
- 2021-06-27
- 2021-09-26
-
2021-10-27
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-11-01
- 2021-11-03
- 2021-11-11
-
2021-11-17
Survey response — day 21, dose 3MedDRA: Chills, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Two days feeling fatigued with slight chills and aches; no fever.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-01
- 2021-12-08
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2022-01-26
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Quarantine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptoms. Attended an indoor event in which others are now testing positive. Antigen test this morning was negative but symptoms are worsening. We are presumptively quarantining.MedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Survey response — 6 months, dose 3MedDRA: Quarantine, SARS-CoV-2 test positive — 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 consultationFree text: Tested positive for Covid Jan 27 2022 after a family wedding. Isolated under (b)(6)Govt instructions for 10 days. Now fine.MedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Report sent to call center — 6 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-04-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-28 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Lower back and hip pain since second shot.
Release 10 — day 21, dose 3
Symptoms: Two days feeling fatigued with slight chills and aches; no fever.
Release 11 — 3 months, dose 3
Symptoms: Cold symptoms. Attended an indoor event in which others are now testing positive. Antigen test this morning was negative but symptoms are worsening. We are presumptively quarantining.
Release 11 — 6 months, dose 3
Symptoms: Tested positive for Covid Jan 27 2022 after a family wedding. Isolated under (b)(6)Govt instructions for 10 days. Now fine.
redacted (b)(6)
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 | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release