5BH-75202-25171
4 vaccinations
9 coded responses
43 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 200 / DC
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-18
Registered in v-safe
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-02-24
- 2021-03-03
- 2021-03-13
-
2021-03-17
Dose 2 — Moderna
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-25
-
2021-03-31
Survey response — day 14, dose 2MedDRA: Swelling face — Feeling: FairFree text: My right temple feels swollen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-04-21
- 2021-04-29
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2021-06-18
Survey response — 3 months, dose 2MedDRA: Office visit, Type 2 diabetes mellitus — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Type two diabetes diagnosis · Healthcare visit (other): In by person doctor office and nutritionist officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
- 2021-09-15
-
2021-10-27
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Insomnia — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: Wave I'd exhaustion eve. Then I cannot sleep later. Otherwise I am okMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-05
- 2021-11-11
- 2021-11-18
- 2021-11-24
- 2021-12-09
- 2022-01-26
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2022-05-18
Dose 4 — Moderna
-
2022-05-20
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Site: SwellingFree text: A bit tired, yesterday very tiredMedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: I don't think it is booster relatedMedDRA releases: 2024-11 · check-in free text available
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2022-05-23
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: I could not sleep after 4.5 hoursMedDRA releases: 2024-11 · check-in free text available
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2022-05-27
Survey response — day 7, dose 4MedDRA: Endodontic procedure, Toothache — Feeling: Fair · FeverFree text: I had a root canal wed. And my tooth is hurting a lotMedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
- 2022-06-10
- 2022-06-16
- 2022-06-23
- 2022-07-01
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2022-08-17
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Productive cough, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing — Feeling: Good · Be unable to work or attend schoolFree text: Tested positive for Covid, symptoms were sneezing, congestion, coughing, Phlegm, no fever, tirednessMedDRA releases: 2024-11 · check-in free text available
- 2022-11-16
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-18 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 6 — day 14, dose 2
Symptoms: My right temple feels swollen.
Release 9 — 3 months, dose 2
Symptoms: Type two diabetes diagnosis
Healthcare visit (other): In by person doctor office and nutritionist office
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Wave I'd exhaustion eve. Then I cannot sleep later. Otherwise I am ok
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): A bit tired, yesterday very tired
Systemic reaction (other): I don't think it is booster related
Systemic reaction (other): I could not sleep after 4.5 hours
Release 11 — day 7, dose 4
Systemic reaction (other): I had a root canal wed. And my tooth is hurting a lot
Release 12 — 3 months, dose 4
Symptoms: Tested positive for Covid, symptoms were sneezing, congestion, coughing, Phlegm, no fever, tiredness
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SD | Type 2 diabetes mellitus | ✓ | ✓ | ✓ |
| SRO | Endodontic procedure | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Toothache | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release