5P9-23778-13016
5 vaccinations
8 coded responses
60 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 804 / CO
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
- 2021-01-03
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at injection site ended in less than 24 hours after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Please note: Injection site pain was only on the first day & slight on the second day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at injection site ended day after shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at injection site lasted less than 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — day 7, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at injection site for only 24 hours after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-23
-
2021-01-30
Dose 2 — Moderna
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm pain was only slight & was gone the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-05-01
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2021-07-31
Survey response — 6 months, dose 2MedDRA: Abdominal pain upper, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stomach pain & headaches for a few days.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-23
Dose 3 — Moderna
- 2021-10-23
- 2021-10-24
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
-
2022-04-11
Dose 4 — Moderna
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
-
2022-07-11
Survey response — 3 months, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Tested positive for COVID June 15, 2022MedDRA releases: 2024-11 · check-in free text available
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2022-07-11
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-07-12
-
2022-07-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-10
-
2022-10-18
Dose 5 — ModernaCo-administered: Flu
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-10-18 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Pain at injection site ended in less than 24 hours after injection.
Systemic reaction (other): Please note: Injection site pain was only on the first day & slight on the second day.
Systemic reaction (other): Pain at injection site ended day after shot.
Systemic reaction (other): Pain at injection site lasted less than 24 hours.
Release 1 — day 7, dose 1
Systemic reaction (other): Pain at injection site for only 24 hours after injection.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Arm pain was only slight & was gone the next day.
Release 9 — 6 months, dose 2
Symptoms: Stomach pain & headaches for a few days.
Release 12 — 3 months, dose 4
Symptoms: Tested positive for COVID June 15, 2022
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 | Abdominal pain upper | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release