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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

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-21
    Registered in v-safe
  3. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: 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 activities
    Free 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 again
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-28
    Survey response — day 14, dose 1
    MedDRA: 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 professional
    Free 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 nurse
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-28
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-06
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-02-11
    Dose 2 — Moderna
  8. 2021-02-11
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: COVID-19, Cough — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Persistent cough following having Covid virus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-09
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-21

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

2021-01-28

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

2021-02-18

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
SDBody temperature increased ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SROBody temperature fluctuation ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROCOVID-19 ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release