3R7-13187-98056
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 321 / FL
- Registered
- 2021-01-21
- Relationship
- Self
Timeline
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2021-01-14
Dose 1 — Moderna
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2021-01-21
Registered in v-safe
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2021-01-21
Survey response — day 7, dose 1MedDRA: Body temperature fluctuation, Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Symptoms started on Monday 1/18 with a cough in the afternoon. I spent Tuesday and Wednesday in bed with all the aforementioned symptoms, temp fluctuating between 101 and 102. This morning Thursday 1/21 I felt a little better and temp went to normal but had sore throat and temp gas risen to 102 and 101 againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — day 14, dose 1MedDRA: Body temperature increased, Feeling abnormal, Injection site erythema, Injection site swelling, Medical counselling, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I began feeling very poorly with temperature of 102 on 1/18 - 5 days after the vaccination. I tested positive for Covid on 1/21Last night site of the vaccination was raised and red - hadnt noticed before but Ive been in bed poorly · Healthcare visit (other): Telephone with drs nurseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-06
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
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2021-02-18
Survey response — day 7, dose 2MedDRA: COVID-19, Cough — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Persistent cough following having Covid virusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
-
2021-06-09
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Symptoms started on Monday 1/18 with a cough in the afternoon. I spent Tuesday and Wednesday in bed with all the aforementioned symptoms, temp fluctuating between 101 and 102. This morning Thursday 1/21 I felt a little better and temp went to normal but had sore throat and temp gas risen to 102 and 101 again
Release 2 — day 14, dose 1
Symptoms: I began feeling very poorly with temperature of 102 on 1/18 - 5 days after the vaccination. I tested positive for Covid on 1/21Last night site of the vaccination was raised and red - hadnt noticed before but Ive been in bed poorly
Healthcare visit (other): Telephone with drs nurse
Release 4 — day 7, dose 2
Systemic reaction (other): Persistent cough following having Covid virus
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SRO | Body temperature fluctuation | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release