3FT-27201-65866
4 vaccinations
11 coded responses
47 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 032 / NH
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-18
Dose 2 — Moderna
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painFree text: Cough shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal painFree text: The abdominal pain was severe overnight but better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Head congestion and slight cough. Mostly fatigue and headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
-
2021-08-19
Survey response — 6 months, dose 2MedDRA: Asthenia, Bundle branch block right, Dyspnoea, Fatigue, Iron deficiency anaemia, Vitamin D deficiency, Weight increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Shortness of breath; right bundle branch block; iron anemia; vitamin D deficiency; lack of energy; weight gain; fatigueMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
-
2021-11-01
Dose 3 — Pfizer-BioNTech
- 2021-11-01
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-23
-
2021-11-29
Survey response — day 28, dose 3MedDRA: Cough, Dyspnoea, Oropharyngeal pain — Feeling: FairFree text: Slight cough, shortness of breath, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-13
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2022-02-01
Survey response — 3 months, dose 3MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Runny nose, headache, sore throat, congestion, exhaustionMedDRA releases: 2024-11 · check-in free text available
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2022-04-09
Dose 4 — Moderna
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2022-04-21
Survey response — day 7, dose 4MedDRA: Dyspnoea, Headache, Influenza like illness — Feeling: Fair · HeadacheFree text: Day after I had flu like symptoms shortness of breath and strong headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-30
- 2022-05-07
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2022-05-15
Survey response — day 35, dose 4MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Continue to have headaches and exhaustionMedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Survey response — day 42, dose 4MedDRA: Dyspnoea, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Continue to have headaches shortness of breath and exhaustionMedDRA releases: 2024-11 · check-in free text available
- 2022-07-11
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2022-10-08
Survey response — 6 months, dose 4MedDRA: Dyspnoea, Headache, Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: High blood pressure, headache, shortness of breath · Healthcare visit (other): Visit with pcpMedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-10
- 2022-10-10
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2023-04-09
Survey response — 12 months, dose 4MedDRA: Blood iron decreased, Bundle branch block right, Vitamin B12 deficiency, Vitamin D decreased — 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 · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-09
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-11
- 2023-04-11
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-11-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-09 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Cough shortness of breath
Systemic reaction (other): The abdominal pain was severe overnight but better today.
Systemic reaction (other): Head congestion and slight cough. Mostly fatigue and headache.
Release 9 — 6 months, dose 2
Symptoms: Shortness of breath; right bundle branch block; iron anemia; vitamin D deficiency; lack of energy; weight gain; fatigue
Release 10 — day 28, dose 3
Symptoms: Slight cough, shortness of breath, sore throat
Release 11 — 3 months, dose 3
Symptoms: Runny nose, headache, sore throat, congestion, exhaustion
Release 11 — day 7, dose 4
Systemic reaction (other): Day after I had flu like symptoms shortness of breath and strong headache
Release 11 — day 35, dose 4
Symptoms: Continue to have headaches and exhaustion
Release 11 — day 42, dose 4
Symptoms: Continue to have headaches shortness of breath and exhaustion
Release 12 — 6 months, dose 4
Symptoms: High blood pressure, headache, shortness of breath
Healthcare visit (other): Visit with pcp
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 | Asthenia | ✓ | · | ✓ |
| SD | Blood iron decreased | · | · | ✓ |
| SD | Bundle branch block right | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Iron deficiency anaemia | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vitamin B12 deficiency | · | · | ✓ |
| SD | Vitamin D decreased | · | · | ✓ |
| SD | Vitamin D deficiency | ✓ | · | ✓ |
| SD | Weight increased | ✓ | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release