3NX-17635-67667
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 342 / FL
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Moderna
-
2021-04-20
Registered in v-safe
-
2021-04-20
Dose 2 — Moderna
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Muscle tightness — Feeling: Good · HeadacheFree text: Neck tightness and headache last 2 days but may be from the way i sleptMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2021-10-19
-
2022-04-20
Survey response — 12 months, dose 2MedDRA: COVID-19, Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Laboratory test abnormal, Pyrexia, Respiratory symptom, Respiratory tract congestion, Sinusitis, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Was exposed to Covid i began with head congestion fatigue 100.7 fever and SOB when walking in the house. Symptoms were like my URI with sinus infection i used to get yearly back in MI minus the fever. I tested positive. Lasted about 3-4 days · Healthcare visit (other): Had ov already set up b4 positive. Had televisit he gave Rx for Augmentin. Didnt had covid results at that time. Started feeling better 3 days later but waS positive 4 covidMedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-21
-
2022-04-22
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 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Neck tightness and headache last 2 days but may be from the way i slept
Release 11 — 12 months, dose 2
Symptoms: Was exposed to Covid i began with head congestion fatigue 100.7 fever and SOB when walking in the house. Symptoms were like my URI with sinus infection i used to get yearly back in MI minus the fever. I tested positive. Lasted about 3-4 days
Healthcare visit (other): Had ov already set up b4 positive. Had televisit he gave Rx for Augmentin. Didnt had covid results at that time. Started feeling better 3 days later but waS positive 4 covid
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 | COVID-19 | · | · | ✓ |
| HCVO | Telemedicine | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release