3CJ-21588-45628
5 vaccinations
3 coded responses
28 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 030 / NH
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Moderna
-
2021-04-13
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: PainFree text: Weird taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-27
- 2021-05-04
-
2021-05-11
Dose 2 — Moderna
- 2021-05-11
-
2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-08-10
- 2021-11-09
-
2021-12-07
Dose 3 — Moderna
-
2022-05-11
Survey response — 12 months, dose 2MedDRA: Lymphadenopathy, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: GoodFree text: I've had a sore throat, swollen glands in neck , runny nose and sneezing for the past week or so. But I'm almost positive it is due to seasonal allergies or possibly a minor cold. No fever, chills, aches or loss of taste or smell so I will be okay.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-27
Dose 4 — Moderna
- 2022-09-26
-
2022-10-05
Dose 5 — Pfizer-BioNTech
-
2022-12-26
Survey response — 6 months, dose 4MedDRA: Hospitalisation, Influenza virus test negative, Oxygen saturation decreased, SARS-CoV-2 test negative, Tachycardia, Upper respiratory tract infection — 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, HospitalizationFree text: I had a bad upper respiratory infection that caused my O2 level to drop into the 80's and my heart to become tachycardic. I was negative for Covid,RSV and flu but was in the hospital for 2.5 days. I'm better now.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-26
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
| 4 | 2022-06-27 | Moderna | No |
| 5 | 2022-10-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Weird taste in mouth
Release 11 — 12 months, dose 2
Symptoms: I've had a sore throat, swollen glands in neck , runny nose and sneezing for the past week or so. But I'm almost positive it is due to seasonal allergies or possibly a minor cold. No fever, chills, aches or loss of taste or smell so I will be okay. cut off by CDC
Release 12 — 6 months, dose 4
Symptoms: I had a bad upper respiratory infection that caused my O2 level to drop into the 80's and my heart to become tachycardic. I was negative for Covid,RSV and flu but was in the hospital for 2.5 days. I'm better now.
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 | Hospitalisation | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release