3QB-13497-97254
4 vaccinations
11 coded responses
55 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 275 / NC
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Moderna
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2021-01-22
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
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2021-02-05
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Swelling, Urticaria — Feeling: GoodFree text: Noticed yesterday that my right arm seems to be very itchy at/around the injection site. Yesterday there was a welt of sorts and a bit swollen. It seemed odd. Otherwise, I felt fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
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2021-02-19
Dose 2 — Moderna
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2021-02-19
Health check-in — day 0, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessFree text: But late last night, I had a temp of 100.5MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-20
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2021-10-27
Dose 3 — Moderna
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2021-10-27
Survey response — day 0, dose 3MedDRA: SARS-CoV-2 test, Sneezing — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Sneezing last 24 hours · Healthcare visit (other): Had a COVID test and rapid test for sneezing symptomsMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — day 0, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Runny nose, sneezingMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Seems I caught a cold virus a couple days after booster dhotMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Head coldMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Some congestion, but feel so much better today!MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: A bit congested, but otherwise feel fine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
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2021-11-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-02
- 2021-11-03
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2021-11-12
Survey response — day 14, dose 3MedDRA: Headache — Feeling: GoodFree text: Headaches, started on WedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
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2022-04-24
Dose 4 — Moderna
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2022-04-24
Health check-in — day 0, dose 4Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-05-23
- 2022-05-29
- 2022-06-05
- 2022-07-24
- 2022-10-23
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2023-04-25
Survey response — 12 months, dose 4MedDRA: Mobility decreased, SARS-CoV-2 test negative, Self-medication, Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-24 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): No
Release 3 — day 14, dose 1
Symptoms: Noticed yesterday that my right arm seems to be very itchy at/around the injection site. Yesterday there was a welt of sorts and a bit swollen. It seemed odd. Otherwise, I felt fine
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): But late last night, I had a temp of 100.5
Release 10 — day 0, dose 3
Systemic reaction (other): Sneezing last 24 hours
Healthcare visit (other): Had a COVID test and rapid test for sneezing symptoms
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Runny nose, sneezing
Systemic reaction (other): Seems I caught a cold virus a couple days after booster dhot
Systemic reaction (other): Head cold
Systemic reaction (other): Some congestion, but feel so much better today!
Systemic reaction (other): A bit congested, but otherwise feel fine.
Release 10 — day 14, dose 3
Symptoms: Headaches, started on Wed
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 | SARS-CoV-2 test | · | · | ✓ |
| HCVO | Sneezing | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release