3TJ-20629-83357
5 vaccinations
11 coded responses
38 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 138 / NY
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
- 2021-01-19
- 2021-01-24
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Dizziness, Feeling abnormal — Feeling: GoodFree text: While driving one evening (1/26/21), got very dizzy, pulled over and waited for it to subside. Next 2 days, wasnt sick but didnt feel like myself, no symptoms to speak of. 3rd day felt normal again. So far ok today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Chills, HeadacheFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Throat irritation, Upper-airway cough syndrome — Feeling: GoodFree text: Scratchy throat, post nasal dripMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Vertigo — Feeling: Good · HeadacheFree text: A little vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-05
-
2021-03-13
Survey response — day 28, dose 2MedDRA: Headache — Feeling: GoodFree text: Headache Tuesday thru Thursday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — day 35, dose 2MedDRA: Peripheral swelling, Tenderness — Feeling: GoodFree text: Swollen tender knuckle at the base of my right index finger and I dont recall injuring it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: I would have answered no but wanted to leave a comment. I seem to get headaches a lot more often than before I was vaccinated. Nothing debilitating, just the frequency is concerning. This week I had 2. Previous to vax, very rare occurrence.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-08-15
-
2021-11-02
Dose 3 — Moderna
- 2022-02-14
- 2022-05-05
-
2022-05-19
Dose 4 — Moderna
- 2022-05-20
-
2022-05-21
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-06-02
- 2022-06-11
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-08-20
-
2022-09-29
Dose 5 — Moderna
- 2022-10-26
- 2022-10-27
- 2022-11-03
-
2022-11-10
Survey response — day 42, dose 5MedDRA: Cough, Influenza, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Viral infection — Feeling: Fair · Be unable to work or attend schoolFree text: Sore throat, runny and stuffy nose, cough. Have tested 1-2x per day and negative for Covid each time. Probably just a cold, virus, or mild flu.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-29
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2023-03-30
Survey response — 6 months, dose 5MedDRA: Chills, Cough, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-03-30
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
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2023-03-31
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-05-19 | Moderna | No |
| 5 | 2022-09-29 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — day 14, dose 1
Symptoms: While driving one evening (1/26/21), got very dizzy, pulled over and waited for it to subside. Next 2 days, wasnt sick but didnt feel like myself, no symptoms to speak of. 3rd day felt normal again. So far ok today.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog
Systemic reaction (other): Scratchy throat, post nasal drip
Release 4 — day 7, dose 2
Systemic reaction (other): A little vertigo
Release 5 — day 28, dose 2
Symptoms: Headache Tuesday thru Thursday.
Release 6 — day 35, dose 2
Symptoms: Swollen tender knuckle at the base of my right index finger and I dont recall injuring it.
Release 6 — day 42, dose 2
Symptoms: I would have answered no but wanted to leave a comment. I seem to get headaches a lot more often than before I was vaccinated. Nothing debilitating, just the frequency is concerning. This week I had 2. Previous to vax, very rare occurrence.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): No
Systemic reaction (other): No
Release 12 — day 42, dose 5
Symptoms: Sore throat, runny and stuffy nose, cough. Have tested 1-2x per day and negative for Covid each time. Probably just a cold, virus, or mild flu.
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 | Unevaluable event | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release