4E6-18525-92805
4 vaccinations
7 coded responses
49 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 573 / SD
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
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2021-02-16
Dose 1 — Moderna
- 2021-02-16
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · Site: Pain, Redness · Fever · HeadacheFree text: Headache started yesterday eveningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · HeadacheAdult check-in
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2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · HeadacheAdult check-in
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2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Sore throat & fatigue for past couple days... unsure if related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, HeadacheAdult check-in
- 2021-02-23
- 2021-03-02
- 2021-03-09
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2021-03-16
Dose 2 — Moderna
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2021-03-16
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Neck pain & stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · HeadacheAdult check-in
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
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2021-06-15
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Currently having what I believe to be a kidney stone recurrence... not sought medical help at this time. This is the 3rd time and only once was medical /surgical intervention required.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-14
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2021-10-30
Dose 3 — Moderna
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
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2021-11-13
Survey response — day 14, dose 3MedDRA: Renal disorder, Surgery, Urinary tract disorder — Feeling: Poor · Be unable to work or attend school, 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 visit, HospitalizationFree text: Symptoms: Kidney / urinary track issues unrelated to vaccine. · Healthcare visit (other): SurgeriesMedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2021-11-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-22
- 2021-11-29
- 2021-12-04
- 2021-12-11
- 2022-01-31
- 2022-04-30
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2022-05-02
Dose 4 — Moderna
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2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, NauseaAdult check-in
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2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
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2022-05-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, NauseaAdult check-in
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2022-05-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, NauseaAdult check-in
- 2022-05-08
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
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2022-08-01
Survey response — 3 months, dose 4MedDRA: Fatigue, Malaise, Productive cough, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Congestion, intermittently coughing & coughing up phlem. Feeling tired & not well. Staying away from people today to prevent sharing in case it's not allergy related. Going to self test for COVID later.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-05-02 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Headache started yesterday evening
Systemic reaction (other): Sore throat & fatigue for past couple days... unsure if related to vaccine.
Systemic reaction (other): Sore throat
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Neck pain & stiffness
Release 9 — 3 months, dose 2
Symptoms: Currently having what I believe to be a kidney stone recurrence... not sought medical help at this time. This is the 3rd time and only once was medical /surgical intervention required.
Release 10 — day 14, dose 3
Symptoms: Kidney / urinary track issues unrelated to vaccine.
Healthcare visit (other): Surgeries
Release 12 — 3 months, dose 4
Symptoms: Congestion, intermittently coughing & coughing up phlem. Feeling tired & not well. Staying away from people today to prevent sharing in case it's not allergy related. Going to self test for COVID later.
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 | Surgery | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Renal disorder | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Urinary tract disorder | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release