5LE-33528-17367
5 vaccinations
7 coded responses
63 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 060 / CT
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-18
Registered in v-safe
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
-
2021-03-03
Survey response — day 14, dose 1MedDRA: Dyspnoea, Fatigue, Pre-existing disease, Presyncope, Vaccination site erythema — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 14 days after the shot I feel tired, weak, on verge of fainting, had to lay down. Still have redness on arm around vaccination site, short of breath. I am on medication for heart failure.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Muscle or body achesAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
-
2021-04-06
Survey response — day 21, dose 2MedDRA: Back pain, Neck pain, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Body aches all over -- back, legs, arms, neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
-
2022-05-13
Dose 4 — Moderna
-
2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
-
2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-20
- 2022-06-24
- 2022-08-12
-
2022-10-17
Dose 5 — Moderna
- 2022-10-17
-
2022-10-18
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-10-19
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: RednessFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-31
- 2022-11-07
-
2022-11-14
Survey response — day 28, dose 5MedDRA: Emergency care, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive for COVID-19 on 11/10/2022. Treated in ER with Bebtelovimab. Prescription for Benzonatate.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-21
Survey response — day 35, dose 5MedDRA: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea, Malaise, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Poor · 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 visitFree text: I have been sick with Covid for two weeks beginning Nov. 7. Can't smell or taste anything, cough, sore throat, body aches, runny nose, shortness of breath.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-21
Report sent to call center — day 35, 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)
- 2022-11-22
- 2022-11-28
- 2023-01-16
-
2023-04-17
Survey response — 6 months, dose 5MedDRA: COVID-19, Cough, Diarrhoea, Eye operation, Fatigue, Insomnia, Malaise, Pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-13 | Moderna | No |
| 5 | 2022-10-17 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 14, dose 1
Symptoms: 14 days after the shot I feel tired, weak, on verge of fainting, had to lay down. Still have redness on arm around vaccination site, short of breath. I am on medication for heart failure.
Release 7 — day 21, dose 2
Symptoms: Body aches all over -- back, legs, arms, neck.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No
Release 12 — day 28, dose 5
Symptoms: Tested positive for COVID-19 on 11/10/2022. Treated in ER with Bebtelovimab. Prescription for Benzonatate.
Release 12 — day 35, dose 5
Symptoms: I have been sick with Covid for two weeks beginning Nov. 7. Can't smell or taste anything, cough, sore throat, body aches, runny nose, shortness of breath.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Eye operation | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Presyncope | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vaccination site erythema | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release