5JR-13946-29470
6 vaccinations
8 coded responses
35 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 805 / CO
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
- 2021-03-17
-
2021-03-19
Dose 2 — Moderna
-
2021-03-26
Survey response — day 7, dose 2MedDRA: Chills, Feeling hot, Pain in extremity, Peripheral swelling — Feeling: GoodFree text: On March 20, 2021 I had 100 degree temp, chills and very sore arm. Symptoms decreased signigicantly by March 22, 2021 with only a sore, swollen, hot arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
-
2021-09-01
Dose 3 — Moderna
- 2021-09-17
- 2021-12-01
- 2022-03-02
-
2022-04-18
Dose 4 — Moderna
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Bronchitis, Office visit, Pneumonia aspiration — Feeling: Poor · Site: Pain, Swelling · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I am beginning to recover from aspiration pneumonia and acute bronchitis, with an onset of 3 weeks ago. · Healthcare visit (other): My primary care doc's office visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Report sent to call center — days 1–6 daily, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Oropharyngeal pain, Pre-existing disease — Feeling: Poor · Fever · Be unable to do your normal daily activitiesFree text: Continued sore throat and coughing from aspiration pneumonia contracted over 3 weeks ago.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
-
2022-04-22
Call successfulNot applicable - Accidental Reporting
- 2022-04-23
- 2022-04-24
-
2022-04-25
Survey response — day 7, dose 4MedDRA: Cough — Feeling: Fair · Fever · Headache, Nausea · Be unable to do your normal daily activitiesFree text: CoughingMedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Survey response — day 14, dose 4MedDRA: Cough, Headache, Pneumonia aspiration — Feeling: PoorFree text: Continued hard coughing and headache from aspiration pneumonia most likely.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-07-18
-
2022-09-14
Dose 5 — Moderna
- 2022-10-01
-
2022-10-05
Survey response — day 21, dose 5MedDRA: Cough, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe coughing is continuing to worsen. · Healthcare visit (other): Doctor's office and chest xray and ENT scoped throatMedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-06
- 2022-10-12
- 2022-10-19
- 2022-10-28
- 2022-12-14
- 2023-03-15
-
2023-05-01
Dose 6 — Moderna
-
2023-05-08
Survey response — day 7, dose 6MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-05-15
Survey response — day 14, dose 6MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-22
- 2023-05-29
- 2023-06-05
- 2023-06-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-09-01 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-09-14 | Moderna | No |
| 6 | 2023-05-01 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 6 — day 7, dose 2
Systemic reaction (other): On March 20, 2021 I had 100 degree temp, chills and very sore arm. Symptoms decreased signigicantly by March 22, 2021 with only a sore, swollen, hot arm.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I am beginning to recover from aspiration pneumonia and acute bronchitis, with an onset of 3 weeks ago.
Healthcare visit (other): My primary care doc's office visit.
Systemic reaction (other): Continued sore throat and coughing from aspiration pneumonia contracted over 3 weeks ago.
Release 11 — day 7, dose 4
Systemic reaction (other): Coughing
Release 11 — day 14, dose 4
Symptoms: Continued hard coughing and headache from aspiration pneumonia most likely.
Release 12 — day 21, dose 5
Symptoms: Severe coughing is continuing to worsen.
Healthcare visit (other): Doctor's office and chest xray and ENT scoped throat
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 | Headache | · | · | ✓ |
| SD | Pneumonia aspiration | · | · | ✓ |
| SRO | Bronchitis | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pneumonia aspiration | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release