4G9-31089-72664
4 vaccinations
6 coded responses
47 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 561 / MN
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: ItchingFree text: A red circle on my arm about the size of an orangMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Pruritus — Feeling: Good · Site: ItchingFree text: The red mark on my arm is much reduced an the itching is much less intense than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
-
2021-09-04
Survey response — 6 months, dose 2MedDRA: Food poisoning, Gastritis, Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have just had a case of gastritis but I dont think it is in any way related to Covid. It was either stomach flu or food poisoning. It lasted about a week.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-28
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site pruritus, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Redness, Itching · Joint painsFree text: The red itchy spot is below the actual injection site. I think it is the beginning of "Covid arm"!which I also had with my second shot.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · Joint painsAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
-
2022-05-05
Dose 4 — Moderna
- 2022-05-18
-
2022-05-19
Survey response — day 14, dose 4MedDRA: Cough, Fatigue, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion bad coughing exhaustion no fever negative for Covid 2xMedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
-
2022-06-02
Survey response — day 28, dose 4MedDRA: Medical counselling, Pre-existing disease, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Sinus infection post virus not Covid · Healthcare visit (other): TelephoneMedDRA releases: 2024-11 · check-in free text available
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2022-06-02
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-06-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-09
- 2022-06-16
- 2022-08-04
- 2022-11-03
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-05 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): A red circle on my arm about the size of an orang
Systemic reaction (other): The red mark on my arm is much reduced an the itching is much less intense than yesterday
Release 9 — 6 months, dose 2
Symptoms: I have just had a case of gastritis but I dont think it is in any way related to Covid. It was either stomach flu or food poisoning. It lasted about a week.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The red itchy spot is below the actual injection site. I think it is the beginning of "Covid arm"!which I also had with my second shot.
Release 11 — day 14, dose 4
Symptoms: Congestion bad coughing exhaustion no fever negative for Covid 2x
Release 11 — day 28, dose 4
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 | Medical counselling | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Food poisoning | ✓ | · | ✓ |
| SD | Gastritis | ✓ | · | ✓ |
| SD | Gastroenteritis viral | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release