59D-72573-07736
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 628 / IL
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
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2021-02-17
Registered in v-safe
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2021-02-17
Survey response — day 7, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: StuffyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Survey response — day 0, dose 2MedDRA: Pain, Pain in extremity — Feeling: Fair · Headache, Fatigue or tirednessFree text: Arm sore when moved or touchedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion, Sensitivity to weather change, Upper-airway cough syndrome — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: Have stuffy nose with a drip. But probably related to the weather.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
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2021-03-18
Survey response — day 14, dose 2MedDRA: Cough, Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Cough, stuffy and runny nose which may be due to allergy and sinus weather conditions and environment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 21, dose 2MedDRA: Bladder irritation, Body temperature increased, Cough, Joint swelling, Office visit, Peripheral swelling, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Swelling on right bottom of leg into ankle area . Headache for a couple of days. A small amount of temp for a little while. Still coughing with ruMy nose. Irritation treated as UTI but was not. · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professionalno matching call case
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-09-02
- 2022-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
1 check-in flagged for a call with no call center case on record
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Stuffy
Release 5 — day 0, dose 2
Systemic reaction (other): Arm sore when moved or touched
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Have stuffy nose with a drip. But probably related to the weather.
Release 5 — day 14, dose 2
Symptoms: Cough, stuffy and runny nose which may be due to allergy and sinus weather conditions and environment.
Release 6 — day 21, dose 2
Symptoms: Swelling on right bottom of leg into ankle area . Headache for a couple of days. A small amount of temp for a little while. Still coughing with ruMy nose. Irritation treated as UTI but was not.
Healthcare visit (other): Office visit
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 | ✓ | ✓ | ✓ |
| SD | Bladder irritation | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sensitivity to weather change | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release