5JP-55192-53128
4 vaccinations
6 coded responses
23 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 800 / CO
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
-
2021-02-05
Dose 2 — Moderna
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Light headed, dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-09
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-07
- 2021-03-12
- 2021-03-19
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Chronic lymphocytic leukaemia, Fatigue, Headache, Lymphadenopathy, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swollen lymph glands, headache, and tired. I do have CLL, so it probably isnt the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Asthma, Office visit — Feeling: Fair · 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: Symptoms: I have been diagnosed with asthma and I am on oxygen at night. I do not think that either of conditions are a result of the vaccine · Healthcare visit (other): Face to face appointmentsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-13
-
2021-08-26
Dose 3 — Moderna
- 2021-11-25
- 2022-02-25
-
2022-04-04
Dose 4 — Moderna
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2022-04-14
Health check-in — day 7, dose 4Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-11
- 2022-05-16
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2022-07-05
Survey response — 3 months, dose 4MedDRA: Joint injury — Feeling: Fair · Be unable to work or attend schoolFree text: Twisted kneeMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Survey response — 6 months, dose 4MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Ankle surgery next week. Then, knee surgery in the spring. I have no symptoms of Covid. I have not had the latest booster. However, I will after my ankle surgery. I have had the two shots in each of my hips for extra protection from CovidMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-04
- 2022-10-04
- 2022-10-04
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2023-04-05
Survey response — 12 months, dose 4MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-08-26 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed, dizzy
Release 8 — 3 months, dose 2
Symptoms: Swollen lymph glands, headache, and tired. I do have CLL, so it probably isnt the vaccine
Release 9 — 6 months, dose 2
Symptoms: I have been diagnosed with asthma and I am on oxygen at night. I do not think that either of conditions are a result of the vaccine
Healthcare visit (other): Face to face appointments
Release 12 — 3 months, dose 4
Symptoms: Twisted knee
Release 12 — 6 months, dose 4
Symptoms: Ankle surgery next week. Then, knee surgery in the spring. I have no symptoms of Covid. I have not had the latest booster. However, I will after my ankle surgery. I have had the two shots in each of my hips for extra protection from Covid
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 | Arthralgia | · | · | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Chronic lymphocytic leukaemia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint injury | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release