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2WA-17583-31427

4 vaccinations 3 coded responses 35 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
152 / PA
Registered
2021-02-17
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Dose 1 — Moderna
  2. 2021-02-17
    Registered in v-safe
  3. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Adult check-in
  4. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  5. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-16
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-18
    Dose 2 — Moderna
  14. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-08
    Survey response — day 21, dose 2
    MedDRA: Chest discomfort, Dyspnoea, Lymphadenopathy, Medical counselling, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Lymph nodes in my neck swelled up slightly. Chest fest a little heavy. This was about a week ago. I have shortness of breath. Doctor put me on an antibiotic. Recently had an allergy test. It was negative to allergies. And had a Covid test, negative · Healthcare visit (other): Phone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-08
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-29
    Survey response — day 42, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: Around 1:50 pm I was at a landscaping nursery and became dizzy. Lasted momentarily. I came home.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-22
    Dose 3 — Pfizer-BioNTech
  29. 2021-10-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-02-10
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  33. 2022-03-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-03-30
    Dose 4 — Moderna
    Co-administered: Flu
  35. 2022-04-14
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-04-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-04-27
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-05
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-11
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-29
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-09-28
    Survey response — 6 months, dose 4
    MedDRA: COVID-19, Chills, Pyrexia, Respiratory tract congestion — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I came down with Covid on Sept 20th. Chills, head stuffiness. Low grade fever.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-09-28
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  43. 2022-09-29
  44. 2023-03-30
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-18Moderna
32021-09-22Pfizer-BioNTech No
42022-03-30Moderna Flu

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — day 21, dose 2

2021-04-08

Symptoms: Lymph nodes in my neck swelled up slightly. Chest fest a little heavy. This was about a week ago. I have shortness of breath. Doctor put me on an antibiotic. Recently had an allergy test. It was negative to allergies. And had a Covid test, negative cut off by CDC
Healthcare visit (other): Phone.

Release 8 — day 42, dose 2

2021-04-29

Symptoms: Around 1:50 pm I was at a landscaping nursery and became dizzy. Lasted momentarily. I came home.

Release 12 — 6 months, dose 4

2022-09-28

Symptoms: I came down with Covid on Sept 20th. Chills, head stuffiness. Low grade fever.

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDChills · · ✓
SDCOVID-19 · · ✓
SDDizziness ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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