58B-25460-67965
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 840 / UT
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-04-16
Dose 2 — Moderna
-
2021-04-17
Registered in v-safe
- 2021-04-17
- 2021-04-19
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Sore throat, runny nose, coincidental cold symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: SARS-CoV-2 test — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Covid testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-16
-
2021-10-17
Survey response — 6 months, dose 2MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, Rhinorrhoea — Feeling: GoodFree text: A cold. Runny nose. Cough. Headache. Fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Dose 3 — Moderna
- 2021-11-18
- 2021-11-20
- 2021-11-21
- 2021-11-23
- 2021-11-26
- 2021-12-01
- 2021-12-10
- 2021-12-17
-
2021-12-22
Survey response — day 35, dose 3MedDRA: Headache, Rhinorrhoea — Feeling: FairFree text: Exposed a few days ago. Developing a runny nose and headaches. Going to get tested now.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
- 2022-02-16
-
2022-04-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-18
Survey response — 6 months, dose 3MedDRA: Chills, Cough, Diarrhoea, Nasopharyngitis, Nausea, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Covid symptoms starting May 3/4. Cough, head cold, some nausea and diarrhea, minor chills during the night, symptoms lingering two weeks later · Healthcare visit (other): Tried to reach doctor for anti virals from test to treat. Could not reach them.MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat, runny nose, coincidental cold symptoms
Healthcare visit (other): Covid test
Release 10 — 6 months, dose 2
Symptoms: A cold. Runny nose. Cough. Headache. Fatigue.
Release 10 — day 35, dose 3
Symptoms: Exposed a few days ago. Developing a runny nose and headaches. Going to get tested now.
Release 11 — 6 months, dose 3
Symptoms: Covid symptoms starting May 3/4. Cough, head cold, some nausea and diarrhea, minor chills during the night, symptoms lingering two weeks later
Healthcare visit (other): Tried to reach doctor for anti virals from test to treat. Could not reach them.
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release