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3UL-49988-15290

3 vaccinations 5 coded responses 23 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
316 / GA
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness
    Free text: Just kinda blah today. Probably not related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-11
    Dose 2 — Moderna
  10. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: Fatigue, Nausea — Feeling: Good · Site: Pain
    Free text: I had a couple moments where I felt queazy and tired but for the most part no symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-03-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-27
    Survey response — day 42, dose 2
    MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Vertigo for two days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-02-13
    Survey response — 12 months, dose 2
    MedDRA: Body temperature increased, COVID-19, Choking, Cough, Decreased appetite, Oropharyngeal pain, Parosmia, Quarantine, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Symptoms: I had Covid 12/7/21. Serious choking cough, mild temperature. Sore throat altered sense of smell. Low appetite. I quarantine times for 10 days. Had an infusion on 12/7. Had had both vaccines but no booster. Waiting til 3/7 for booster. · Healthcare visit (other): Infusion.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-02-13
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  20. 2022-02-15
  21. 2022-07-27
    Dose 3 — Moderna
  22. 2022-08-07
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2022-08-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-08-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-08-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-08-31
    Survey response — day 35, dose 3
    MedDRA: Exercise tolerance decreased, Fatigue, Hypersomnia — Feeling: Fair
    Free text: I was very tired and sleepy a lot. Worked in the yard and couldn't hold out as much.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-09-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-10-28
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  29. 2023-01-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna
32022-07-27Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Just kinda blah today. Probably not related.

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): I had a couple moments where I felt queazy and tired but for the most part no symptoms.

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Vertigo for two days.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: I had Covid 12/7/21. Serious choking cough, mild temperature. Sore throat altered sense of smell. Low appetite. I quarantine times for 10 days. Had an infusion on 12/7. Had had both vaccines but no booster. Waiting til 3/7 for booster.
Healthcare visit (other): Infusion.

Release 12 — day 35, dose 3

2022-08-31

Symptoms: I was very tired and sleepy a lot. Worked in the yard and couldn't hold out as much.

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
HCVOUnevaluable event · · ✓
SDBody temperature increased · · ✓
SDChoking · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDecreased appetite · · ✓
SDExercise tolerance decreased · · ✓
SDFatigue · · ✓
SDHypersomnia · · ✓
SDOropharyngeal pain · · ✓
SDParosmia · · ✓
SDQuarantine · · ✓
SDVertigo ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SRONausea ✓ ✓ ✓

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