57F-25518-12803
4 vaccinations
9 coded responses
52 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-06
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Cold sore on upper lip has occured todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — day 7, dose 2MedDRA: Oral herpes — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Cold sore will last > 3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Rhinitis — Feeling: GoodFree text: Runny (rhinitis) no sore throat, no fever, feel fine not anything to be of concern.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Pain — Feeling: Good · Joint pains, Muscle or body achesFree text: Asking a 3/4 century old person the above ,"worse than usual" answer is same w aches & pains.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
-
2022-05-10
Dose 4 — Moderna
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Oral herpes — Feeling: Fair · Fever · Rash, not including the immediate area around the injection siteFree text: Developed another fever blister upper lipMedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Oral herpes — Feeling: Good · Fever · Rash, not including the immediate area around the injection siteFree text: Cold sore upper lip onlyMedDRA releases: 2024-11 · check-in free text available
-
2022-05-16
Survey response — days 1–6 daily, dose 4MedDRA: Oral herpes, Self-medication — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The small fever blister is not a severe problem Abreva is working.MedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Survey response — day 7, dose 4MedDRA: Lip blister, Self-medication — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Very tiny lip blister is healing with abreva & not a problemMedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
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2022-08-09
Survey response — 3 months, dose 4MedDRA: Fatigue, Oropharyngeal discomfort, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Positive Covid test 06/29/2022. Broken glass feeling in throat & fatigue. After 5 day course of Paxlovid completed then developed rhinorrhea (constant runny nose) fatigue with negative results for Covid.MedDRA releases: 2024-11 · check-in free text available
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2022-08-09
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-10
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-05-10 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Cold sore on upper lip has occured today
Release 5 — day 7, dose 2
Systemic reaction (other): Cold sore will last > 3 days
Release 9 — 6 months, dose 2
Symptoms: Runny (rhinitis) no sore throat, no fever, feel fine not anything to be of concern.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Asking a 3/4 century old person the above ,"worse than usual" answer is same w aches & pains.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Developed another fever blister upper lip
Systemic reaction (other): Cold sore upper lip only
Systemic reaction (other): The small fever blister is not a severe problem Abreva is working.
Release 11 — day 7, dose 4
Systemic reaction (other): Very tiny lip blister is healing with abreva & not a problem
Release 12 — 3 months, dose 4
Symptoms: Positive Covid test 06/29/2022. Broken glass feeling in throat & fatigue. After 5 day course of Paxlovid completed then developed rhinorrhea (constant runny nose) fatigue with negative results for Covid.
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 |
|---|---|---|---|---|
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal discomfort | · | · | ✓ |
| SD | Rhinitis | ✓ | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Lip blister | · | · | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release