5LH-31870-59777
5 vaccinations
9 coded responses
47 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 243 / VA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
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2021-01-28
Dose 1 — Moderna
- 2021-01-28
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Last night temperatore rose to 100.2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Muscle or body achesAdult check-in
- 2021-02-28
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: My normal body temp is about 97.5F, since the shot it has been running from 98.5 to 100.4. This morning it was 99.5. I don't feel bad, no chills, and no symptoms of any illness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
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2021-04-01
Survey response — day 35, dose 2MedDRA: Hypotension — Feeling: FairFree text: Blood pressure has been unusually low at times, like 95/57. Will discuss at dr appt 4/12/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-05-26
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2021-08-25
Survey response — 6 months, dose 2MedDRA: Cholecystectomy, Cholecystitis, Cholelithiasis, Laparoscopic surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: Gallstones, cholycystitis. Had cholycystectomy 8/12/2021. · Healthcare visit (other): Outpatient laparoscopic cholycystectomyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-22
Dose 3 — Moderna
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body achesAdult check-in
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good · Site: Pain, Itching · NauseaFree text: Would like to state that injection site pain, swelling and itching have been much worse after booster than they were after the first two vaccinations.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
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2022-04-22
Survey response — 6 months, dose 3MedDRA: Iron deficiency anaemia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Iron deficiency anemiaMedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Dose 4 — Moderna
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2022-10-10
Dose 5 — Moderna
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2022-10-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-13
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2022-10-14
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Fair · Site: PainFree text: Injection site is still soreMedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
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2022-10-16
Survey response — days 1–6 daily, dose 5MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Very light rash on neck, upper chest area. Probably not vax relatedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
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2023-01-09
Survey response — 3 months, dose 5MedDRA: Chills, Discharge, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-09
Report sent to call center — 3 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 · 1 call case(s)
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2023-01-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-06-08 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Last night temperatore rose to 100.2
Systemic reaction (other): My normal body temp is about 97.5F, since the shot it has been running from 98.5 to 100.4. This morning it was 99.5. I don't feel bad, no chills, and no symptoms of any illness.
Release 6 — day 35, dose 2
Symptoms: Blood pressure has been unusually low at times, like 95/57. Will discuss at dr appt 4/12/2021
Release 9 — 6 months, dose 2
Symptoms: Gallstones, cholycystitis. Had cholycystectomy 8/12/2021.
Healthcare visit (other): Outpatient laparoscopic cholycystectomy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Would like to state that injection site pain, swelling and itching have been much worse after booster than they were after the first two vaccinations.
Release 11 — 6 months, dose 3
Symptoms: Iron deficiency anemia
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Injection site is still sore
Systemic reaction (other): Very light rash on neck, upper chest area. Probably not vax related
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 | Cholecystectomy | ✓ | · | ✓ |
| HCVO | Laparoscopic surgery | ✓ | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cholecystectomy | ✓ | · | ✓ |
| SD | Cholecystitis | ✓ | · | ✓ |
| SD | Cholelithiasis | ✓ | · | ✓ |
| SD | Discharge | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Iron deficiency anaemia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release