449-23091-90739
3 vaccinations
5 coded responses
16 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 670 / KS
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-03-16
Registered in v-safe
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Emotional poverty, Malaise — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Overall blahMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-14
- 2021-04-21
-
2021-04-28
Survey response — day 21, dose 2MedDRA: Death of companion, Epistaxis, Office visit, Stress — 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 visitFree text: Symptoms: Nosebleeds, but may be stress related resulting from recent partners death. · Healthcare visit (other): Drs office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-05
- 2021-05-13
- 2021-05-19
- 2021-07-07
-
2021-10-07
Survey response — 6 months, dose 2MedDRA: Arthropod sting, Dizziness, Erythema, Pyrexia, Swelling — Feeling: GoodFree text: Bee sting causing swelling and redness continuing after third day; a little light headed; low-grade fever.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-10
Dose 3 — Pfizer-BioNTech
-
2022-04-07
Survey response — 12 months, dose 2MedDRA: COVID-19, Gastrointestinal disorder, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach ailment with some fever started 2 days ago. Probably unrelated to COVID-19.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-09
- 2022-05-13
-
2022-11-12
Survey response — 12 months, dose 3MedDRA: COVID-19, Malaise — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sick beginning 10/2 evening. COVID positive 10/5 through 10/21. Rx Paxlovid started 10/5, which made me sicker; I finished the dose pack as directed.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-12
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-15
- 2022-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-11-10 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Overall blah
Release 8 — day 21, dose 2
Symptoms: Nosebleeds, but may be stress related resulting from recent partners death.
Healthcare visit (other): Drs office visit
Release 10 — 6 months, dose 2
Symptoms: Bee sting causing swelling and redness continuing after third day; a little light headed; low-grade fever.
Release 11 — 12 months, dose 2
Symptoms: Stomach ailment with some fever started 2 days ago. Probably unrelated to COVID-19.
Release 12 — 12 months, dose 3
Symptoms: Sick beginning 10/2 evening. COVID positive 10/5 through 10/21. Rx Paxlovid started 10/5, which made me sicker; I finished the dose pack as directed.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Arthropod sting | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Death of companion | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Stress | ✓ | ✓ | ○ |
| SD | Swelling | · | · | ✓ |
| SRO | Emotional poverty | ○ | ✓ | ○ |
| SRO | Malaise | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release