565-23901-69759
5 vaccinations
10 coded responses
50 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 977 / OR
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-04
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-18
-
2021-03-23
Dose 2 — Moderna
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Today much better. Day after, felt TERRIBLE!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-20
Survey response — day 28, dose 2MedDRA: Blood pressure increased, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Higher blood pressure than normal. Consistent readings in the 170/6X range. Collecting readings for two weeks and will review with primary care physician for next steps. · Healthcare visit (other): Will be regular office visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-27
- 2021-05-04
- 2021-06-22
- 2021-09-21
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Feeling jittery — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: JittersMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Nope. On the mend from the booster. It appears my antibodies are doing a good job! Thank you for being there for all of us!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
-
2021-11-09
Survey response — day 14, dose 3MedDRA: Injection site pruritus — Feeling: GoodFree text: Yesterday - itching at the site. Today same. Not problematic in any way.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-23
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2021-11-30
Survey response — day 35, dose 3MedDRA: Colitis microscopic — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Lymphocytic colitisMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-07
- 2021-12-08
-
2021-12-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-25
Survey response — 3 months, dose 3MedDRA: Cricopharyngeal achalasia — Feeling: GoodFree text: Non-Covid related - CP bar diagnosis.MedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Dose 4 — Moderna
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2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness · Fatigue or tirednessAdult check-in
- 2022-04-21
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
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2022-10-14
Survey response — 6 months, dose 4MedDRA: Ageusia, Brain fog, COVID-19, Cough, Diarrhoea, Fatigue, Headache, Lethargy, Nausea, Pain, Rhinorrhoea — Feeling: Poor · 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: COVID - 1st time. Lethargy, no smell or taste Diarrhea, sick to my stomach, aching body, cough!, fuzzy brain, exhaustion, runny nose, headacheMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-17
- 2022-10-18
-
2023-01-04
Dose 5 — Pfizer-BioNTech
-
2023-04-17
Survey response — 12 months, dose 4MedDRA: Bronchitis, COVID-19, Fall, Feeling abnormal, Head injury, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2023-01-04 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Today much better. Day after, felt TERRIBLE!
Systemic reaction (other): Sore throat
Release 7 — day 28, dose 2
Symptoms: Higher blood pressure than normal. Consistent readings in the 170/6X range. Collecting readings for two weeks and will review with primary care physician for next steps.
Healthcare visit (other): Will be regular office visit.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Jitters
Systemic reaction (other): Nope. On the mend from the booster. It appears my antibodies are doing a good job! Thank you for being there for all of us!
Release 10 — day 14, dose 3
Symptoms: Yesterday - itching at the site. Today same. Not problematic in any way.
Release 10 — day 35, dose 3
Symptoms: Lymphocytic colitis
Release 11 — 3 months, dose 3
Symptoms: Non-Covid related - CP bar diagnosis.
Release 12 — 6 months, dose 4
Symptoms: COVID - 1st time. Lethargy, no smell or taste Diarrhea, sick to my stomach, aching body, cough!, fuzzy brain, exhaustion, runny nose, headache
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 | Office visit | ○ | ○ | ○ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Colitis microscopic | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Cricopharyngeal achalasia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Head injury | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypertension | ○ | ○ | ○ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Feeling jittery | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release