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396-98542-71104

5 vaccinations 10 coded responses 49 check-ins 10 free-text entries 6 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
933 / CA
Registered
2021-02-02
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-30
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-02-06
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  8. 2021-02-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-27
    Dose 2 — Moderna
  11. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Headache
    Adult check-in
  13. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-29
    Survey response — 3 months, dose 2
    MedDRA: Dysmenorrhoea, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Like menstrual cramps experienced mid-April & have been checked by gynecologist, followed by radiology visit for ultrasound/pelvic exam. And then, I had an appt last Wed for scrapping of cells in uterus. · Healthcare visit (other): Office visit first with primary, followed by appt with gynecologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-29
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-08-28
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain, Appendicectomy, Computerised tomogram abnormal, Constipation, Emergency care, Frequent bowel movements, Hepatomegaly, Hiatus hernia, Nephrolithiasis, Office visit, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Not related to COVIDemergency appendectomy surgery June 15; had CT scan recently since experiencing abdominal pain that showed small stone in rt kidney/constipation, although I poop all day/enlarged liver/hietal hernia. · Healthcare visit (other): Surgery same day as ER visit 6/15/primary visit this month on other issues
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-08-28
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-08-31
  28. 2021-10-23
    Dose 3 — Moderna
  29. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  31. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  32. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  33. 2021-10-30
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-22
    Survey response — 3 months, dose 3
    MedDRA: Laboratory test abnormal — Feeling: Good · Be unable to do your normal daily activities
    Free text: Tested Dec. 27thGot result 12/29 positive.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-04-08
    Dose 4 — Moderna
  41. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  42. 2022-04-15
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-04-22
    Survey response — day 14, dose 4
    MedDRA: Diarrhoea, Vomiting — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I may have pick up a virusvomiting/diarrhea simultaneously In course of an hour late last Easter Sunday evening, April 17. No one in family experienced same symptomscannot be food poisoning.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-04-22
    Report sent to call center — day 14, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  45. 2022-04-25
  46. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-05-07
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-07-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-09-29
    Dose 5 — Pfizer-BioNTech
  52. 2022-10-04
    Survey response — days 1–6 daily, dose 5
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness, Diarrhea
    Free text: Joint pain could be related to my gout
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-10-06
    Survey response — day 7, dose 5
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Fatigue may be due to all the walking at NFL game last Mon?Rams/49er game at Levi Stadium in Santa Clara.
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-10-13
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  55. 2022-10-20
    Survey response — day 21, dose 5
    MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I truly am experiencing involuntary spasms(?) for over a month. It's noticeable when I'm not moving but sitting still. Like right now as I'm answering & holding my iPhone in my left hand, I experienced it. I've contacted my medical provider today.
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-10-20
    Report sent to call center — day 21, dose 5
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  57. 2022-10-21
  58. 2022-10-29
    Survey response — day 28, dose 5
    MedDRA: Bronchitis, Cough, Emergency care, SARS-CoV-2 test — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Went to ER recently?after all tests including nasal swab(Covid/RSV/flu), I am down with bronchitis. This continuous cough is troublesome. I was prescribed with meds.
    MedDRA releases: 2024-11 · check-in free text available
  59. 2022-10-29
    Report sent to call center — day 28, dose 5
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  60. 2022-10-31
  61. 2022-10-31
  62. 2022-10-31
  63. 2022-10-31
  64. 2022-10-31
  65. 2022-11-03
    Survey response — day 35, dose 5
    MedDRA: Cough, Emergency care, Insomnia, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: My symptoms same from last check-in?wheezing/continuous annoying cough that I can't get a good night sleep. A second visit was done to ER last night. IV steroids & continuous breathing treatment was ordered. And I was given better prescription meds
    MedDRA releases: 2024-11 · check-in free text available
  66. 2022-11-03
    Report sent to call center — day 35, dose 5
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  67. 2022-11-04
  68. 2022-11-04
  69. 2022-11-04
  70. 2022-11-04
  71. 2022-11-04
  72. 2022-11-04
  73. 2022-11-12
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  74. 2022-12-29
    Survey response — 3 months, dose 5
    MedDRA: Asthma, Nasopharyngitis, Pre-existing disease — Feeling: Good
    Free text: Cold & asthma acting up
    MedDRA releases: 2024-11 · check-in free text available
  75. 2023-04-01
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-30Moderna
22021-02-27Moderna
32021-10-23Moderna No
42022-04-08Moderna No
52022-09-29Pfizer-BioNTech No

Call center

6 call center cases

6 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Like menstrual cramps experienced mid-April & have been checked by gynecologist, followed by radiology visit for ultrasound/pelvic exam. And then, I had an appt last Wed for scrapping of cells in uterus.
Healthcare visit (other): Office visit first with primary, followed by appt with gynecologist

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Not related to COVIDemergency appendectomy surgery June 15; had CT scan recently since experiencing abdominal pain that showed small stone in rt kidney/constipation, although I poop all day/enlarged liver/hietal hernia.
Healthcare visit (other): Surgery same day as ER visit 6/15/primary visit this month on other issues

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Tested Dec. 27thGot result 12/29 positive.

Release 11 — day 14, dose 4

2022-04-22

Symptoms: I may have pick up a virusvomiting/diarrhea simultaneously In course of an hour late last Easter Sunday evening, April 17. No one in family experienced same symptomscannot be food poisoning.

Release 12 — days 1–6 daily, dose 5

2022-10-04

Systemic reaction (other): Joint pain could be related to my gout

Release 12 — day 7, dose 5

2022-10-06

Systemic reaction (other): Fatigue may be due to all the walking at NFL game last Mon?Rams/49er game at Levi Stadium in Santa Clara.

Release 12 — day 21, dose 5

2022-10-20

Symptoms: I truly am experiencing involuntary spasms(?) for over a month. It's noticeable when I'm not moving but sitting still. Like right now as I'm answering & holding my iPhone in my left hand, I experienced it. I've contacted my medical provider today.

Release 12 — day 28, dose 5

2022-10-29

Symptoms: Went to ER recently?after all tests including nasal swab(Covid/RSV/flu), I am down with bronchitis. This continuous cough is troublesome. I was prescribed with meds.

Release 12 — day 35, dose 5

2022-11-03

Symptoms: My symptoms same from last check-in?wheezing/continuous annoying cough that I can't get a good night sleep. A second visit was done to ER last night. IV steroids & continuous breathing treatment was ordered. And I was given better prescription meds cut off by CDC

Release 12 — 3 months, dose 5

2022-12-29

Symptoms: Cold & asthma acting up

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
HCVOEmergency care ✓ · ✓
HCVOOffice visit ✓ ✓ ✓
HCVOSurgery ✓ · ✓
SDAbdominal pain ✓ · ✓
SDAppendicectomy ✓ · ✓
SDAsthma · · ✓
SDBronchitis · · ✓
SDComputerised tomogram abnormal ✓ · ✓
SDConstipation ✓ · ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDDysmenorrhoea ✓ ✓ ✓
SDEmergency care · · ✓
SDFrequent bowel movements ✓ · ✓
SDHepatomegaly ✓ · ✓
SDHiatus hernia ✓ · ✓
SDInsomnia · · ✓
SDLaboratory test abnormal · · ✓
SDNasopharyngitis · · ✓
SDNephrolithiasis ✓ · ✓
SDPre-existing disease · · ✓
SDSARS-CoV-2 test · · ✓
SDUnevaluable event · · ✓
SDVomiting · · ✓
SDWheezing · · ✓
SROArthralgia · · ✓
SROFatigue · · ✓
SROPre-existing disease · · ✓

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