59M-39935-22571
4 vaccinations
5 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 104 / NY
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: The only evidence of a shot is a mug-sized black and blue mark. My husband, who received his vaccine at the same time has no bruise and no symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Slight soreness injection site muscleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-11-12
Dose 3 — Moderna
- 2022-02-10
-
2022-04-11
Dose 4 — Moderna
- 2022-04-28
-
2022-05-04
Survey response — day 21, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test positive — Feeling: PoorFree text: Good like cold, but tested positive for Covid vMedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
-
2022-05-16
Survey response — day 35, dose 4MedDRA: COVID-19, Pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had Covid about 12 days ago. No fever, just sneezing a slightly achy. I went on Paxlovid. Felt great 5 days post 1st symptoms. Tested negative & felt great for 6/7 days, then symptoms returned. Testing positive. Paxlovid Covid rebound?MedDRA releases: 2024-11 · check-in free text available
-
2022-05-16
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-17
Call successfulCompleted over the phone
-
2022-05-23
Survey response — day 42, dose 4MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Constant coughingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-13
- 2022-10-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): The only evidence of a shot is a mug-sized black and blue mark. My husband, who received his vaccine at the same time has no bruise and no symptoms.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Slight soreness injection site muscle
Release 11 — day 21, dose 4
Symptoms: Good like cold, but tested positive for Covid v
Release 11 — day 35, dose 4
Symptoms: I had Covid about 12 days ago. No fever, just sneezing a slightly achy. I went on Paxlovid. Felt great 5 days post 1st symptoms. Tested negative & felt great for 6/7 days, then symptoms returned. Testing positive. Paxlovid Covid rebound?
Release 11 — day 42, dose 4
Symptoms: Constant coughing
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release