529-87562-75827
5 vaccinations
4 coded responses
39 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 836 / ID
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-10
- 2021-02-17
-
2021-02-24
Survey response — day 21, dose 1MedDRA: No adverse event — Feeling: GoodFree text: None, am doing great, second injection is in a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-04-01
- 2021-04-07
- 2021-04-14
- 2021-06-02
-
2021-09-01
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache, Lymph node pain, Oropharyngeal pain, Paranasal sinus hypersecretion, Pre-existing disease, Productive cough, SARS-CoV-2 test negative, Smoke sensitivity, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: 2 mo history of BronchitisAfebrile; productive cough (clear & creamy); lungs clear; fatigue, sinus drainage; chest x-Ray clear; H/A, gland tenderness, sore throat. COVID neg. 5 days of Zithromax & 10 Augmentin. Dense wildfire smoke a factor. · Healthcare visit (other): Visits Xs 2MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-01
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
-
2021-11-05
Dose 3 — Moderna
- 2022-03-04
-
2022-05-06
Dose 4 — Moderna
- 2022-05-08
- 2022-05-15
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-19
-
2022-08-05
Survey response — 3 months, dose 4MedDRA: Fatigue, Hyposmia, Productive cough, Quarantine, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: GoodFree text: I tested positive for COVID in late June. Quarantined for 8 days, and tested negative on day 9. Symptoms were no more than an ugly productive cough, minor fatigue. There was a dullness in my sense of smell, not completely gone. RemainsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Dose 5 — Pfizer-BioNTech
-
2022-10-13
Survey response — day 7, dose 5MedDRA: Fatigue — Feeling: Good · Site: Redness, ItchingFree text: Day after the injection, was very fatiguedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-26
- 2022-11-03
- 2022-11-09
- 2022-11-16
- 2023-01-04
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
| 5 | 2022-10-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 21, dose 1
Symptoms: None, am doing great, second injection is in a week.
Release 9 — 6 months, dose 2
Symptoms: 2 mo history of BronchitisAfebrile; productive cough (clear & creamy); lungs clear; fatigue, sinus drainage; chest x-Ray clear; H/A, gland tenderness, sore throat. COVID neg. 5 days of Zithromax & 10 Augmentin. Dense wildfire smoke a factor.
Healthcare visit (other): Visits Xs 2
Release 12 — 3 months, dose 4
Symptoms: I tested positive for COVID in late June. Quarantined for 8 days, and tested negative on day 9. Symptoms were no more than an ugly productive cough, minor fatigue. There was a dullness in my sense of smell, not completely gone. Remains
Release 12 — day 7, dose 5
Systemic reaction (other): Day after the injection, was very fatigued
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 | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Lymph node pain | ✓ | · | ✓ |
| SD | No adverse event | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Smoke sensitivity | ✓ | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release