3QL-33031-83724
4 vaccinations
7 coded responses
52 check-ins
6 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 120 / NY
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Fever · Fatigue or tirednessFree text: my usual temp 96.5ishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: discovered injection site sore when touched but not painfMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-11-23
Dose 3 — Moderna
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-23
-
2021-12-28
Survey response — day 35, dose 3MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: g.i. issues due, i think, to consuming food that was going badMedDRA releases: 2024-11 · check-in free text available
- 2022-01-04
- 2022-02-22
-
2022-04-15
Dose 4 — Moderna
-
2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body achesFree text: i did have stiffness in my upper arm after injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
-
2022-07-15
Survey response — 3 months, dose 4MedDRA: Arthritis, Fall, Muscle injury, Office visit, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: nothing covid related. fell and messed up my hamstring. had surgery for arthritis · Healthcare visit (other): surgery chiropracticMedDRA releases: 2024-11 · check-in free text available
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2022-07-15
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-14
Survey response — 6 months, dose 4MedDRA: Body temperature increased, Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: had a cold this past week. feeling better now. cough, congestion, low grade temp, sneezing, sore throat. 2 neg home covid tests to the question below worked from home instead of going to the officeMedDRA releases: 2024-11 · check-in free text available
-
2023-04-17
Survey response — 12 months, dose 4MedDRA: Dyspnoea, Musculoskeletal stiffness, Office visit, Pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-17
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): my usual temp 96.5ish
Systemic reaction (other): discovered injection site sore when touched but not painf
Release 10 — day 35, dose 3
Symptoms: g.i. issues due, i think, to consuming food that was going bad
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): i did have stiffness in my upper arm after injection
Release 12 — 3 months, dose 4
Symptoms: nothing covid related. fell and messed up my hamstring. had surgery for arthritis
Healthcare visit (other): surgery chiropractic
Release 12 — 6 months, dose 4
Symptoms: had a cold this past week. feeling better now. cough, congestion, low grade temp, sneezing, sore throat. 2 neg home covid tests to the question below worked from home instead of going to the office
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 | Office visit | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Muscle injury | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release