37R-20764-17940
4 vaccinations
4 coded responses
50 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 596 / MT
- 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
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-14
- 2021-09-11
-
2021-10-24
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-13
Dose 4 — Moderna
-
2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2022-04-16
- 2022-04-17
- 2022-04-18
-
2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Headache, Fatigue or tirednessFree text: I have a head cold, I think. I don't know if it is shot related or not. Definitely coincidental thoughMedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Survey response — day 7, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Fatigue or tirednessFree text: Head cold. Don't know if it is related or coincidentalMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-05-06
- 2022-05-12
- 2022-05-18
- 2022-05-25
-
2022-07-13
Survey response — 3 months, dose 4MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: I tested positive for covid on July 5th. Symptoms began July 2nd, but my home test had expired the previous week. Therefore I tested on July 5th. I am currently monitoring my exposure by wearing a mask and staying home. I did not get very sickMedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Survey response — 6 months, dose 4MedDRA: Eye haemorrhage, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bleeding behind left eye · Healthcare visit (other): Eye doctorMedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-10-13
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 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I have a head cold, I think. I don't know if it is shot related or not. Definitely coincidental though
Release 11 — day 7, dose 4
Systemic reaction (other): Head cold. Don't know if it is related or coincidental
Release 12 — 3 months, dose 4
Symptoms: I tested positive for covid on July 5th. Symptoms began July 2nd, but my home test had expired the previous week. Therefore I tested on July 5th. I am currently monitoring my exposure by wearing a mask and staying home. I did not get very sick
Release 12 — 6 months, dose 4
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 | Office visit | · | · | ✓ |
| SD | Eye haemorrhage | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release