59A-20733-59268
5 vaccinations
6 coded responses
38 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 805 / CO
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · Site: PainFree text: Slight cough ( not usual) mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-24
- 2021-01-29
-
2021-02-05
Survey response — day 21, dose 1MedDRA: Loss of personal independence in daily activities, Respiratory symptom, Rhinorrhoea — Feeling: GoodFree text: 24 hours of very runny nose. Then over. No upper respiratory symptoms otherwise. Stayed home to be cautious. Did not go to swim, which was scheduled.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site pain — Feeling: Good · Fatigue or tirednessFree text: Mildest tenderness at site. Mild tiredness. Nothing more. Im lucky!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-16
- 2021-02-18
- 2021-02-19
- 2021-02-27
- 2021-03-06
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-09-16
Dose 3 — Moderna
- 2021-10-24
-
2021-10-30
Survey response — day 42, dose 3MedDRA: Asthma, Hypersensitivity, Pre-existing disease, Rhinorrhoea, Wheezing — Feeling: GoodFree text: My allergies and asthma are worse. Runny nose and wheezing. Inhalers are working.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
- 2022-03-17
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-16
-
2022-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Joint stiffness, Self-medication — Feeling: GoodFree text: Knee stiffness and mild pain. Not unusual for me. Took Tylenol for reliefMedDRA releases: 2024-11 · check-in free text available
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
-
2022-09-27
Dose 5 — Moderna
-
2022-10-13
Survey response — 6 months, dose 4MedDRA: Meniere's disease, Nausea, Vertigo, Vomiting — 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 visit, Emergency room or emergency department visit, HospitalizationFree text: Vertigo, nausea, vomiting repeatedly over 2 months. Diagnosed 2 weeks ago as Mnire's diseaseMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-10-14
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-09-16 | Moderna | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-09-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Slight cough ( not usual) mild
Release 3 — day 21, dose 1
Symptoms: 24 hours of very runny nose. Then over. No upper respiratory symptoms otherwise. Stayed home to be cautious. Did not go to swim, which was scheduled.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mildest tenderness at site. Mild tiredness. Nothing more. Im lucky!
Release 10 — day 42, dose 3
Symptoms: My allergies and asthma are worse. Runny nose and wheezing. Inhalers are working.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Knee stiffness and mild pain. Not unusual for me. Took Tylenol for relief
Release 12 — 6 months, dose 4
Symptoms: Vertigo, nausea, vomiting repeatedly over 2 months. Diagnosed 2 weeks ago as Mnire's disease
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 | Asthma | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Meniere's disease | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory symptom | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Joint stiffness | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release