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4GR-27806-92409

5 vaccinations 5 coded responses 22 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
950 / CA
Registered
2021-10-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-26
    Dose 2 — Moderna
  3. 2021-10-25
    Registered in v-safe
  4. 2021-10-27
    Dose 3 — Moderna
  5. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  7. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-11-03
    Survey response — day 7, dose 3
    MedDRA: Night sweats — Feeling: Good · Be unable to do your normal daily activities
    Free text: Night sweats
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-26
    Survey response — 3 months, dose 3
    MedDRA: Nasopharyngitis, Office visit, Sleep apnoea syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Have a cold today. Just took a rapid test which was negative. Diagnosed with sleep apnea. Have not yet begun treatment with a CPAP machine. · Healthcare visit (other): Office visit
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-26
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2022-01-28
  20. 2022-04-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-05-16
    Dose 4 — Moderna
  22. 2022-09-18
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  23. 2022-09-29
    Health check-in — day 7, dose 5
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  24. 2022-10-02
    Survey response — day 14, dose 5
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Got Covid! 9/19/22 I took off my mask (only my husband and I were masked) at an indoor wedding reception. The ceiling was very high, so I felt safe removing my mask. Most guests (90%) were under 40. My husband and I are friends of the grooms parents.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-10-02
    Report sent to call center — day 14, dose 5
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  26. 2022-10-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  27. 2022-10-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  28. 2022-10-09
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  29. 2022-10-16
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  30. 2022-10-23
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  31. 2022-10-30
    Survey response — day 42, dose 5
    MedDRA: Oropharyngeal pain, Pre-existing disease, Rhinorrhoea — Feeling: Good
    Free text: Runny nose, sore throat--the usual.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-12-18
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  33. 2023-03-19
    Survey response — 6 months, dose 5
    MedDRA: Office visit, Osteoporosis — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  34. 2023-03-19
    Report sent to call center — 6 months, dose 5
    Get care from a doctor or other healthcare professional
    1 call case(s)
  35. 2023-03-20

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna No
22021-02-26Moderna No
32021-10-27Moderna No
42022-05-16Moderna No
52022-09-18Pfizer-BioNTech Flu

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — day 7, dose 3

2021-11-03

Systemic reaction (other): Night sweats

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Have a cold today. Just took a rapid test which was negative. Diagnosed with sleep apnea. Have not yet begun treatment with a CPAP machine.
Healthcare visit (other): Office visit

Release 12 — day 14, dose 5

2022-10-02

Symptoms: Got Covid! 9/19/22 I took off my mask (only my husband and I were masked) at an indoor wedding reception. The ceiling was very high, so I felt safe removing my mask. Most guests (90%) were under 40. My husband and I are friends of the grooms parents. cut off by CDC

Release 12 — day 42, dose 5

2022-10-30

Symptoms: Runny nose, sore throat--the usual.

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
HCVOOffice visit · · ✓
SDCOVID-19 · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDOsteoporosis · · ✓
SDPre-existing disease · · ✓
SDRhinorrhoea · · ✓
SDSleep apnoea syndrome · · ✓
SRONight sweats · · ✓

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