3J6-23272-04036
4 vaccinations
9 coded responses
45 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 334 / FL
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
- 2020-12-22
-
2020-12-23
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Gratitude for being able to get this vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Brief dizziness this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Survey response — day 7, dose 1MedDRA: Sinus congestion — Feeling: GoodFree text: Very mild sinus congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-14
-
2021-01-19
Dose 2 — Moderna
-
2021-01-19
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Very very slight dizzynessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-22
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion, Sinus pain — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Sinus discomfort/mild congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Very, very mild fatigue compared to yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
-
2021-02-16
Survey response — day 28, dose 2MedDRA: Fatigue, Migraine, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: migraine headache, fatigue, sinus congestion which started yesterday. may or may not be related, but since you asked, I'm reporting it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
- 2021-04-20
- 2021-07-20
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
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2022-04-29
Survey response — 6 months, dose 3MedDRA: Lower limb fracture — 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 visitFree text: Broken leg, not related to covidMedDRA releases: 2024-11 · check-in free text available
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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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-19
Dose 4 — Pfizer-BioNTech
- 2022-10-15
- 2022-10-17
- 2022-10-24
- 2022-10-31
-
2022-12-22
Survey response — 3 months, dose 4MedDRA: Dizziness, Headache, Occupational exposure to SARS-CoV-2, SARS-CoV-2 test, Sinusitis, Upper-airway cough syndrome, Vertigo — Feeling: Good · Be unable to work or attend schoolFree text: headache, dizziness, congestion, post nasal drip. I did home covid test which was 'inconclusive' got diagnosed by MD with sinus infection and vertigo (MD did not do a covid test - I work in a hospital and am exposed (with PPE on) to covid/flu pts)MedDRA releases: 2024-11 · check-in free text available
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Gratitude for being able to get this vaccine.
Systemic reaction (other): Brief dizziness this morning
Release 1 — day 7, dose 1
Systemic reaction (other): Very mild sinus congestion
Release 2 — day 0, dose 2
Systemic reaction (other): Very very slight dizzyness
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus discomfort/mild congestion
Systemic reaction (other): Very, very mild fatigue compared to yesterday.
Release 4 — day 28, dose 2
Symptoms: migraine headache, fatigue, sinus congestion which started yesterday. may or may not be related, but since you asked, I'm reporting it.
Release 11 — 6 months, dose 3
Symptoms: Broken leg, not related to covid
Release 12 — 3 months, dose 4
Symptoms: headache, dizziness, congestion, post nasal drip. I did home covid test which was 'inconclusive' got diagnosed by MD with sinus infection and vertigo (MD did not do a covid test - I work in a hospital and am exposed (with PPE on) to covid/flu pts) cut off by CDC
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 | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lower limb fracture | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Occupational exposure to SARS-CoV-2 | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release