3LG-76196-81151
5 vaccinations
8 coded responses
33 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 453 / OH
- Registered
- 2021-09-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-03-02
Dose 2 — Moderna
-
2021-09-16
Dose 3 — Moderna
-
2021-09-21
Registered in v-safe
-
2021-09-21
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Chills, Headache, Pain, Pyrexia — Feeling: Good · Site: Pain, SwellingFree text: For the first two days after my shot, I had a fever of 100 to 101, chills, a savage headache and pain everywhere. On the third day I woke up feeling fineMedDRA releases: 2024-11 · check-in free text available
- 2021-09-22
- 2021-09-23
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-12-16
- 2022-03-17
-
2022-04-07
Dose 4 — Moderna
-
2022-04-14
Survey response — day 7, dose 4MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Note: This was my fourth shot and I had it on April 7 so my answers are from that dateMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-28
- 2022-05-05
-
2022-05-12
Survey response — day 35, dose 4MedDRA: Headache, Rhinorrhoea — Feeling: GoodFree text: I had a runny nose and a headache for a couple of days.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-07-07
- 2022-10-06
-
2022-10-11
Dose 5 — Pfizer-BioNTech
- 2022-10-11
-
2022-10-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: My normal temp is 97.5 so this temp was higherMedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
Survey response — days 1–6 daily, dose 5MedDRA: Body temperature increased — Feeling: Good · Site: PainFree text: Temp was up last night but normal 97.2 this morningMedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
-
2022-10-16
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-18
-
2022-10-25
Survey response — day 14, dose 5MedDRA: Asthma, Cough, Pre-existing disease — Feeling: GoodFree text: A little asthma and coughing (probably just allergies). Used my inhaler.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2023-01-10
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2023-04-11
Survey response — 6 months, dose 5MedDRA: Abdominal discomfort, Nasopharyngitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-11
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-13
-
2023-04-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | No |
| 2 | 2021-03-02 | Moderna | No |
| 3 | 2021-09-16 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-10-11 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): For the first two days after my shot, I had a fever of 100 to 101, chills, a savage headache and pain everywhere. On the third day I woke up feeling fine
Release 11 — day 7, dose 4
Systemic reaction (other): Note: This was my fourth shot and I had it on April 7 so my answers are from that date
Release 11 — day 35, dose 4
Symptoms: I had a runny nose and a headache for a couple of days.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): My normal temp is 97.5 so this temp was higher
Systemic reaction (other): Temp was up last night but normal 97.2 this morning
Systemic reaction (other): No
Release 12 — day 14, dose 5
Symptoms: A little asthma and coughing (probably just allergies). Used my inhaler.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release