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2WE-21967-71876

5 vaccinations 9 coded responses 42 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
334 / FL
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-01-09
    Registered in v-safe
  3. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-05
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-06
    Dose 2 — Moderna
  14. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Exhaustion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: I feel my pulse rate is higher than lower at times. Not sure connected to this.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Peripheral swelling — Feeling: Good · Site: Pain · Joint pains
    Free text: Swelling of my toes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-20
    Survey response — day 14, dose 2
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: The only issue is that I am overly tired every day. Have to take a nap in the middle of the day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-23
    Dose 3 — Moderna
  29. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  30. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Brain fog — Feeling: Fair · Site: Redness, Swelling, Itching · Abdominal pain · Be unable to do your normal daily activities
    Free text: Yesterday had brain fog but today better
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Just wide amount of redness though subsiding
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-30
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  33. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-27
    Survey response — day 35, dose 3
    MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities
    Free text: Just dizziness for two days
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-04-23
    Survey response — 6 months, dose 3
    MedDRA: Diarrhoea, Headache, Heart rate abnormal, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Had diarrhea for 3 days and headache with heart rate fluctuations. Today first day better · Healthcare visit (other): Seeing cardiologist Monday.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-04-23
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  41. 2022-04-26
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  42. 2022-05-03
    Dose 4 — Moderna
  43. 2022-05-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-26
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-05-31
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-06-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-06-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-08-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-11-14
    Dose 5 — Moderna
  50. 2023-05-15
    Survey response — 6 months, dose 5
    MedDRA: COVID-19, Pneumonia, Post procedural complication, Staphylococcal infection, Surgery — 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 · Emergency room or emergency department visit, Hospitalization
    MedDRA releases: 2024-11
  51. 2023-05-15
    Report sent to call center — 6 months, dose 5
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  52. 2023-05-16
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-06Moderna
32021-10-23Moderna No
42022-05-03Moderna No
52022-11-14Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Exhaustion

2021-02-09

Systemic reaction (other): I feel my pulse rate is higher than lower at times. Not sure connected to this.

2021-02-10

Systemic reaction (other): Swelling of my toes

Release 4 — day 14, dose 2

2021-02-20

Symptoms: The only issue is that I am overly tired every day. Have to take a nap in the middle of the day.

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): Yesterday had brain fog but today better

2021-10-27

Systemic reaction (other): Just wide amount of redness though subsiding

Release 10 — day 35, dose 3

2021-11-27

Symptoms: Just dizziness for two days

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: Had diarrhea for 3 days and headache with heart rate fluctuations. Today first day better
Healthcare visit (other): Seeing cardiologist Monday.

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
HCVOPost procedural complication · · ✓
HCVOSurgery · · ✓
HCVOUnevaluable event · · ✓
SDCOVID-19 · · ✓
SDDiarrhoea · · ✓
SDDizziness · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDHeart rate abnormal · · ✓
SDPneumonia · · ✓
SDStaphylococcal infection · · ✓
SDSurgery · · ✓
SROBrain fog · · ✓
SROErythema · · ✓
SROFatigue ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓

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