482-18846-42693
5 vaccinations
8 coded responses
45 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 180 / PA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
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2021-03-03
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: None yet, just got it 15 minutes agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Sneezing — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Sneezing, blowing nose. Either my body is trying to sneeze out the foreign substance or Ive come down with spring allergies on the same day!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: My temp is usually in the low 97s, so theres still some fever there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-18
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Body temperature increased, Feeling abnormal, Nasal congestion, Nasopharyngitis, Self-medication, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Im finishing a week-long head cold: stuffy nose, sneezing, blowing, using nose spray, cough meds, Sudafed, with variable temperature, not above 99. Miserable, but Im coming out of it.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-26
Dose 3 — Moderna
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2022-03-03
Survey response — 12 months, dose 2MedDRA: Colectomy, Colonoscopy abnormal, Large intestine polyp, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Colonoscopy showed polyp growing on colon lining, so I had surgery in January to remove 8" of colon. I'm recovering nicely. Health is good. · Healthcare visit (other): ColectomyMedDRA releases: 2024-11 · check-in free text available
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2022-03-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-03-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-04-07
Dose 4 — Moderna
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
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2022-07-07
Survey response — 3 months, dose 4MedDRA: Pre-existing disease, Subdural haematoma — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Not related to Covid, a subdural hematoma.MedDRA releases: 2024-11 · check-in free text available
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2022-07-07
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-07-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-09-27
Dose 5 — Moderna
- 2022-09-27
- 2022-09-28
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
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2022-12-27
Survey response — 3 months, dose 5MedDRA: Fatigue, Headache, Rhinorrhoea — Feeling: FairFree text: Sniffles, headache, tiredMedDRA releases: 2024-11 · check-in free text available
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2023-03-28
Survey response — 6 months, dose 5MedDRA: Dysgeusia, Parosmia — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-09-27 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): None yet, just got it 15 minutes ago
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sneezing, blowing nose. Either my body is trying to sneeze out the foreign substance or Ive come down with spring allergies on the same day!
Systemic reaction (other): My temp is usually in the low 97s, so theres still some fever there.
Release 9 — 6 months, dose 2
Symptoms: Im finishing a week-long head cold: stuffy nose, sneezing, blowing, using nose spray, cough meds, Sudafed, with variable temperature, not above 99. Miserable, but Im coming out of it.
Release 11 — 12 months, dose 2
Symptoms: Colonoscopy showed polyp growing on colon lining, so I had surgery in January to remove 8" of colon. I'm recovering nicely. Health is good.
Healthcare visit (other): Colectomy
Release 12 — 3 months, dose 4
Symptoms: Not related to Covid, a subdural hematoma.
Release 12 — 3 months, dose 5
Symptoms: Sniffles, headache, tired
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 | Colectomy | · | · | ✓ |
| SD | Colonoscopy abnormal | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Large intestine polyp | · | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SD | Subdural haematoma | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release