3QW-31002-45781
3 vaccinations
7 coded responses
29 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 832 / ID
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
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2021-02-03
Dose 1 — Moderna
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2021-02-03
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tirednessFree text:MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Extremely tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Limb mass, Loss of personal independence in daily activities — Feeling: Good · Site: Itching · Headache, Fatigue or tirednessFree text: Still have a hard lump on my arm, today it feels like I ran into a door frame real hard. But it hasnt slowed me down like it has the last couple of days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
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2021-03-05
Dose 2 — Moderna
- 2021-03-05
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · HeadacheAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-09
Survey response — day 35, dose 2MedDRA: Pre-existing disease, Productive cough — Feeling: GoodFree text: Since I got better from the shot I have had a cough. Breathing is fine. It kinda acts like my asthma cough, with flem. I know allergy season is here so that might be why it kicked up so much more lately.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
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2021-06-04
Survey response — 3 months, dose 2MedDRA: Cough — Feeling: GoodFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-03
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2021-11-17
Dose 3 — Moderna
- 2022-03-05
- 2022-05-18
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2022-11-19
Survey response — 12 months, dose 3MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Had Covid July 2, 22.MedDRA releases: 2024-11 · check-in free text available
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2022-11-19
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 0, dose 1
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Extremely tired
Systemic reaction (other): Still have a hard lump on my arm, today it feels like I ran into a door frame real hard. But it hasnt slowed me down like it has the last couple of days.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Release 7 — day 35, dose 2
Symptoms: Since I got better from the shot I have had a cough. Breathing is fine. It kinda acts like my asthma cough, with flem. I know allergy season is here so that might be why it kicked up so much more lately.
Release 8 — 3 months, dose 2
Symptoms: Coughing
Release 12 — 12 months, dose 3
Symptoms: Had Covid July 2, 22.
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 | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Limb mass | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release