5BA-25935-66486
5 vaccinations
13 coded responses
54 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 112 / NY
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-17
Dose 1 — Moderna
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2021-02-14
Registered in v-safe
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2021-02-14
Dose 2 — Moderna
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2021-02-14
Survey response — day 0, dose 2MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: Mild diarrhea 1.18.21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Mild cough (intermittent)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Arrhythmia — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessFree text: On/off arrhythmiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · NoneAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-03-02
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-05-16
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2021-08-15
Survey response — 6 months, dose 2MedDRA: Liver function test abnormal, Osteoarthritis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Abnormal LFTs work up in progress but probably secondary to use of Arthrotec (for 8 days very recently) to treat osteoarthritis of the hip or to Atorvastatin (started 3 months ago). AST 81, ALT 156, Alk phos 205, total bilirubin 0.6. · Healthcare visit (other): Work up will depend on repeat LFTs on 8.16.21MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-21
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2021-11-13
Dose 3 — Moderna
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2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Chills, Decreased appetite, Fatigue, Headache, Myalgia, Nausea, Pyrexia — Feeling: GoodFree text: 11.14 was fever, chills, headache, muscle & joint aches, nausea, fatigue, loss of appetite. Resolved 38 hours post vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-12
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2022-04-21
Dose 4 — Moderna
- 2022-04-21
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2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-23
- 2022-04-24
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-21
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2022-09-21
Dose 5 — Moderna
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2022-09-21
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-23
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2022-09-24
Survey response — days 1–6 daily, dose 5MedDRA: Dyspnoea, Respiratory tract congestion — Feeling: Fair · HeadacheFree text: Mild dyspnea, congestionMedDRA releases: 2024-11 · check-in free text available
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2022-09-25
Survey response — days 1–6 daily, dose 5MedDRA: Respiratory tract congestion — Feeling: Fair · HeadacheFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Survey response — days 1–6 daily, dose 5MedDRA: Respiratory tract congestion — Feeling: Good · HeadacheFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
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2022-09-27
Survey response — days 1–6 daily, dose 5MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Mild congestionMedDRA releases: 2024-11 · check-in free text available
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2022-09-28
Survey response — day 7, dose 5MedDRA: Respiratory tract congestion — Feeling: Fair · HeadacheFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
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2022-10-05
Survey response — day 14, dose 5MedDRA: Headache, Respiratory tract congestion — Feeling: GoodFree text: I continued to have daily headache and congestion until yesterday. (Both of those symptoms are uncommon for me.)MedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Survey response — day 21, dose 5MedDRA: Headache, Respiratory tract congestion — Feeling: GoodFree text: Congestion and headaches still occurring daily. Otherwise well.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-12-21
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2023-03-22
Survey response — 6 months, dose 5MedDRA: Tendon disorder, Trigger finger — 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 visitMedDRA releases: 2024-11
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2023-03-22
Report sent to call center — 6 months, dose 5Be 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 · 1 call case(s)
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2023-03-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-03-23
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 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-09-21 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Mild diarrhea 1.18.21
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mild cough (intermittent)
Systemic reaction (other): On/off arrhythmia
Release 9 — 6 months, dose 2
Symptoms: Abnormal LFTs work up in progress but probably secondary to use of Arthrotec (for 8 days very recently) to treat osteoarthritis of the hip or to Atorvastatin (started 3 months ago). AST 81, ALT 156, Alk phos 205, total bilirubin 0.6.
Healthcare visit (other): Work up will depend on repeat LFTs on 8.16.21
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 11.14 was fever, chills, headache, muscle & joint aches, nausea, fatigue, loss of appetite. Resolved 38 hours post vaccine.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Mild dyspnea, congestion
Systemic reaction (other): Congestion
Systemic reaction (other): Congestion
Systemic reaction (other): Mild congestion
Release 12 — day 7, dose 5
Systemic reaction (other): Congestion
Release 12 — day 14, dose 5
Symptoms: I continued to have daily headache and congestion until yesterday. (Both of those symptoms are uncommon for me.)
Release 12 — day 21, dose 5
Symptoms: Congestion and headaches still occurring daily. Otherwise well.
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Liver function test abnormal | ✓ | · | ✓ |
| SD | Osteoarthritis | ✓ | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Tendon disorder | · | · | ✓ |
| SD | Trigger finger | · | · | ✓ |
| SRO | Arrhythmia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release