3EG-50157-82649
5 vaccinations
6 coded responses
32 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 956 / CA
- Registered
- 2021-06-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-21
Dose 1 — Moderna
-
2021-04-25
Dose 2 — Moderna
-
2021-06-11
Registered in v-safe
- 2021-06-11
- 2021-07-25
- 2021-10-24
-
2021-10-29
Dose 3 — Pfizer-BioNTechCo-administered: Other
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 35, dose 3MedDRA: Headache, Migraine, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: I think I'm just coming down w/a simple cold right now, so I wear a mask whenever I'm w/others, & I avoid social gatherings. I have had a headache every few wks or so, but I believe they have been only migraines. Covid test ea time has been negativeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2022-01-28
-
2022-04-29
Survey response — 6 months, dose 3MedDRA: Body temperature increased, Herpes zoster, Office visit, Pain, SARS-CoV-2 test negative — 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 · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Symptoms: Just a couple times when I thought I might have Covid. My PCR test was always negative. I had abt 30 hrs when I felt extremely achy & had 100.3° fever. It was the day after my Shingles, so I'm sure that was the cause unrelated symptoms (eyes, etc) · Healthcare visit (other): in person doc visits, nothing majorMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
- 2022-05-02
-
2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-11
Dose 4 — Moderna
- 2022-07-18
- 2022-07-25
- 2022-08-01
- 2022-08-10
- 2022-08-15
- 2022-08-22
- 2022-10-10
-
2022-12-19
Dose 5 — Moderna
- 2023-01-09
-
2023-01-09
Survey response — 6 months, dose 4MedDRA: Headache, Nasal disorder, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-01-16
Survey response — day 28, dose 5MedDRA: Conjunctivitis, Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-01-16
Report sent to call center — day 28, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-17
-
2023-01-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-01-23
-
2023-01-30
Survey response — day 42, dose 5MedDRA: Emergency care, Headache, Nausea, Vomiting — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-30
Report sent to call center — day 42, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2023-01-31
-
2023-03-20
Survey response — 3 months, dose 5MedDRA: Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | |
| 2 | 2021-04-25 | Moderna | |
| 3 | 2021-10-29 | Pfizer-BioNTech | Other |
| 4 | 2022-07-11 | Moderna | No |
| 5 | 2022-12-19 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 10 — day 35, dose 3
Symptoms: I think I'm just coming down w/a simple cold right now, so I wear a mask whenever I'm w/others, & I avoid social gatherings. I have had a headache every few wks or so, but I believe they have been only migraines. Covid test ea time has been negative cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Just a couple times when I thought I might have Covid. My PCR test was always negative. I had abt 30 hrs when I felt extremely achy & had 100.3° fever. It was the day after my Shingles, so I'm sure that was the cause unrelated symptoms (eyes, etc) cut off by CDC
Healthcare visit (other): in person doc visits, nothing major
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 | Body temperature increased | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nasal disorder | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release