3GS-41123-87138
5 vaccinations
10 coded responses
54 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-02
Dose 1 — Moderna
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2021-03-30
Registered in v-safe
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2021-03-30
Dose 2 — Moderna
- 2021-03-30
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · Site: PainFree text: Just seasonal allergies. Is it OK to take allergy meds?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · Site: PainFree text: Just seasonal allergies, for which I am taking Allegra.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Nope - thanks!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
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2021-05-04
Survey response — day 35, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: After almost a year of staying indoors 99% of the time, I had an outing to a plant store. We were outside in the bright midday sun for almost 2 hours. I was wearing an N95 mask the whole time. By the end I couldnt catch my breath for 20 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — day 42, dose 2MedDRA: Chest pain, Dyspnoea — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Shortness of breath and chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-30
Survey response — 3 months, dose 2MedDRA: Chest pain, Dyspnoea, Pulmonary mass — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: When I experienced shortness of breath and chest pain, a CT scan at the hospital revealed tiny nodules all over my left lung. The shortness of breath went away, and I am scheduled for a follow up CT scan in August.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
- 2021-09-30
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2021-10-28
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
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2021-11-18
Survey response — day 21, dose 3MedDRA: Fatigue, Nasopharyngitis, Pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: FairFree text: Drippy nose, very run-down and achy feeling. I took a covid PCR test, and it came out negative. I suspect that I picked up a cold virus.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-12-04
- 2021-12-09
- 2022-01-27
- 2022-04-28
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2022-06-30
Dose 4 — Moderna
- 2022-06-30
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2022-07-01
Survey response — days 1–6 daily, dose 4MedDRA: Impaired work ability, Insomnia, Malaise, Nasal obstruction, Nasal oedema, Pain, Pyrexia, Self-medication — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Nasal passages swollen. Hard to sleep with fever and difficulty breathing through my nose. If this happens again tonight, I'm thinking of taking Sudafed. I'm also taking Advil for the fever and aches. I took a sick day from work today.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-03
- 2022-07-04
- 2022-07-05
- 2022-07-06
- 2022-07-07
- 2022-07-14
- 2022-07-22
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-09-29
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2022-10-10
Dose 5 — Moderna
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-24
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2022-10-31
Survey response — day 21, dose 5MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Mild sore throat and post-nasal drip. I just returned from traveling 2 days ago. I took a PCR test 30 minutes ago and will get the results either tonight or tomorrow.MedDRA releases: 2024-11 · check-in free text available
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2022-10-31
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-01
- 2022-11-01
- 2022-11-01
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2022-11-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-07
- 2022-11-14
- 2022-11-22
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2023-01-09
Survey response — 3 months, dose 5MedDRA: Fatigue, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-01-09
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-10
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-06-30 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Just seasonal allergies. Is it OK to take allergy meds?
Systemic reaction (other): Just seasonal allergies, for which I am taking Allegra.
Systemic reaction (other): Nope - thanks!
Release 8 — day 35, dose 2
Symptoms: After almost a year of staying indoors 99% of the time, I had an outing to a plant store. We were outside in the bright midday sun for almost 2 hours. I was wearing an N95 mask the whole time. By the end I couldnt catch my breath for 20 minutes.
Release 8 — day 42, dose 2
Symptoms: Shortness of breath and chest pain
Release 9 — 3 months, dose 2
Symptoms: When I experienced shortness of breath and chest pain, a CT scan at the hospital revealed tiny nodules all over my left lung. The shortness of breath went away, and I am scheduled for a follow up CT scan in August.
Release 10 — day 21, dose 3
Symptoms: Drippy nose, very run-down and achy feeling. I took a covid PCR test, and it came out negative. I suspect that I picked up a cold virus.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Nasal passages swollen. Hard to sleep with fever and difficulty breathing through my nose. If this happens again tonight, I'm thinking of taking Sudafed. I'm also taking Advil for the fever and aches. I took a sick day from work today.
Release 12 — day 21, dose 5
Symptoms: Mild sore throat and post-nasal drip. I just returned from traveling 2 days ago. I took a PCR test 30 minutes ago and will get the results either tonight or tomorrow.
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pulmonary mass | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Impaired work ability | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Nasal obstruction | · | · | ✓ |
| SRO | Nasal oedema | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release