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472-10352-59004

3 vaccinations 6 coded responses 29 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
601 / IL
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Good · Site: Pain
    Free text: Sore scratchy throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-04
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-05
    Dose 2 — Moderna
  11. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-19
    Survey response — day 14, dose 2
    MedDRA: Chest pain, Dyspnoea, Headache, Medical counselling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Chest pain like an elephant is sitting on my chest, out of breath, headache, I dont if its related to the vaccine, I had my second shot two weeks ago today. · Healthcare visit (other): Primary care physician, getting test done at hospital on Wednesday 25th of February
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-19
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-12
  22. 2021-10-23
    Dose 3 — Moderna
    Co-administered: Flu
  23. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  24. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal discomfort — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Abdominal press, not really pain
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oral herpes, Pyrexia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Cold sores or fever blisters on my lips from fever
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Glossodynia, Oral pain, Throat irritation — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: My mouth is really sore, my tongue hurts, it burns when drinking carbonated drinks. I'm not sure if this a side affect of the shot but this all started on Wednesday, 10/27.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-30
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-01-22
    Survey response — 3 months, dose 3
    MedDRA: COVID-19, Cough, Diarrhoea, Ear pain, Malaise, Pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have Covid, coughing, chest Congestion, runny nose diarrhea, earache, aches pains overall just feeling crappy.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-04-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-10-23
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-05Moderna
32021-10-23Moderna Flu

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Sore scratchy throat

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Chest pain like an elephant is sitting on my chest, out of breath, headache, I dont if its related to the vaccine, I had my second shot two weeks ago today.
Healthcare visit (other): Primary care physician, getting test done at hospital on Wednesday 25th of February

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): Abdominal press, not really pain

2021-10-27

Systemic reaction (other): Cold sores or fever blisters on my lips from fever

2021-10-28

Systemic reaction (other): My mouth is really sore, my tongue hurts, it burns when drinking carbonated drinks. I'm not sure if this a side affect of the shot but this all started on Wednesday, 10/27.

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: I have Covid, coughing, chest Congestion, runny nose diarrhea, earache, aches pains overall just feeling crappy.

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
HCVOMedical counselling ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDiarrhoea · · ✓
SDDyspnoea ✓ ✓ ✓
SDEar pain · · ✓
SDHeadache ✓ ✓ ✓
SDMalaise · · ✓
SDPain · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SROAbdominal discomfort · · ✓
SROGlossodynia · · ✓
SROOral herpes · · ✓
SROOral pain · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPyrexia · · ✓
SROThroat irritation ✓ ✓ ✓

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