4PY-18088-02091
5 vaccinations
8 coded responses
67 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 151 / PA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-09
Survey response — day 14, dose 1MedDRA: Hyperhidrosis, Injection site erythema, Injection site pruritus, Injection site swelling, Nasopharyngitis, Nausea, Retching, Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2/4: injection site swollen, red, itchy x 36 hrs; 2/5: vertigo, cold sweats, nausea, retching that slowly resolved over 3-4 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activitiesFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Fair · HeadacheFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Sleep disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Severe upper arm pain that woke me from sleep and lasted < 2 hrs; in the arm injected for the first shot not the second · Healthcare visit (other): Plan to call my pcp during regular hrs tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-01
- 2021-03-02
- 2021-03-09
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2021-03-16
Survey response — day 21, dose 2MedDRA: Abscess — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Developed an abscess on the mons pubis (doubt this was vaccine related!)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-23
Survey response — day 28, dose 2MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-05-25
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2021-08-24
Survey response — 6 months, dose 2MedDRA: Cough, Fatigue, Nasal congestion, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Cough, nasal congestion, fatigue but no fever x 10 days so far · Healthcare visit (other): Covid test negativeMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
-
2021-11-06
Dose 3 — Moderna
- 2021-11-06
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2022-02-05
- 2022-05-07
-
2022-05-20
Dose 4 — Moderna
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-08-19
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2022-10-18
Dose 5 — ModernaCo-administered: Flu
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2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
-
2022-11-01
Survey response — day 14, dose 5MedDRA: Rash, Skin discolouration — Feeling: GoodFree text: Purplish rash on lower legsMedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
| 5 | 2022-10-18 | Moderna | Flu |
Call center
3 call center cases
3 unsuccessful
Free text
Release 3 — day 14, dose 1
Symptoms: 2/4: injection site swollen, red, itchy x 36 hrs; 2/5: vertigo, cold sweats, nausea, retching that slowly resolved over 3-4 days
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Vertigo
Systemic reaction (other): Vertigo
Systemic reaction (other): Severe upper arm pain that woke me from sleep and lasted < 2 hrs; in the arm injected for the first shot not the second
Healthcare visit (other): Plan to call my pcp during regular hrs tomorrow
Release 5 — day 21, dose 2
Symptoms: Developed an abscess on the mons pubis (doubt this was vaccine related!)
Release 6 — day 28, dose 2
Symptoms: Vertigo
Release 9 — 6 months, dose 2
Symptoms: Cough, nasal congestion, fatigue but no fever x 10 days so far
Healthcare visit (other): Covid test negative
Release 12 — day 14, dose 5
Symptoms: Purplish rash on lower legs
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 | SARS-CoV-2 test negative | ✓ | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abscess | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Retching | ✓ | ✓ | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release