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
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
- 2021-01-16
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tirednessFree text: Just kinda blah today. Probably not related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
-
2021-02-18
Survey response — day 7, dose 2MedDRA: Fatigue, Nausea — Feeling: Good · Site: PainFree 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
- 2021-02-25
- 2021-03-04
- 2021-03-13
- 2021-03-20
-
2021-03-27
Survey response — day 42, dose 2MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vertigo for two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-08-12
-
2022-02-13
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
-
2022-02-13
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-15
-
2022-07-27
Dose 3 — Moderna
- 2022-08-07
- 2022-08-10
- 2022-08-18
- 2022-08-25
-
2022-08-31
Survey response — day 35, dose 3MedDRA: Exercise tolerance decreased, Fatigue, Hypersomnia — Feeling: FairFree 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
- 2022-09-08
- 2022-10-28
- 2023-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2022-07-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just kinda blah today. Probably not related.
Release 4 — day 7, dose 2
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
Symptoms: Vertigo for two days.
Release 11 — 12 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Choking | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Exercise tolerance decreased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release