3VZ-26903-57795
5 vaccinations
6 coded responses
38 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 381 / TN
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-10
Dose 2 — Moderna
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-02-11
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: Good · Site: Swelling, ItchingFree text: I had a close household contact test positive on Feb 9. My 2nd vaccine was 2/10. I thought my symptoms starting 2/11 was from the vaccine but I did get a Covid test with a + family contact. My PCR was negative on 2/11 and 2/16MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-07-28
-
2021-08-07
Dose 3 — Pfizer-BioNTech
- 2021-08-11
-
2021-11-06
Survey response — 3 months, dose 3MedDRA: Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: GoodFree text: Runny nose, sneezing consistent with seasonal allergies. Had a Covid test that was negativeMedDRA releases: 2024-11 · check-in free text available
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2022-02-05
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cold symptoms 2 weeks ago; 2 Covid tests negative · Healthcare visit (other): Covid testMedDRA releases: 2024-11 · check-in free text available
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2022-02-05
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-09
-
2022-04-05
Dose 4 — Moderna
- 2022-04-14
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
-
2022-05-17
Survey response — day 42, dose 4MedDRA: Adverse reaction, SARS-CoV-2 test negative — Feeling: GoodFree text: Allergy symptoms; negative CovidMedDRA releases: 2024-11 · check-in free text available
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2022-07-05
Survey response — 3 months, dose 4MedDRA: Cough, Respiratory symptom, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Husband with Covid. I had URI symptoms with runny nose and cough. Covid test negative x 2MedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Dose 5 — ModernaCo-administered: Flu
- 2022-10-04
- 2022-10-12
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2022-10-14
Survey response — day 28, dose 5MedDRA: Adverse reaction, SARS-CoV-2 test negative — Feeling: FairFree text: Allergy symptoms; Covid test negativeMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-08-07 | Pfizer-BioNTech | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-09-16 | Moderna | Flu |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had a close household contact test positive on Feb 9. My 2nd vaccine was 2/10. I thought my symptoms starting 2/11 was from the vaccine but I did get a Covid test with a + family contact. My PCR was negative on 2/11 and 2/16
Release 10 — 3 months, dose 3
Symptoms: Runny nose, sneezing consistent with seasonal allergies. Had a Covid test that was negative
Release 11 — 6 months, dose 3
Symptoms: Cold symptoms 2 weeks ago; 2 Covid tests negative
Healthcare visit (other): Covid test
Release 11 — day 42, dose 4
Symptoms: Allergy symptoms; negative Covid
Release 12 — 3 months, dose 4
Symptoms: Husband with Covid. I had URI symptoms with runny nose and cough. Covid test negative x 2
Release 12 — day 28, dose 5
Symptoms: Allergy symptoms; Covid test negative
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release