5PA-92635-83223
3 vaccinations
7 coded responses
28 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 554 / MN
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
DJJ-29845-78446
Child or adolescent in my care · Male · 2021-12-03
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
-
2021-04-13
Survey response — day 21, dose 1MedDRA: Body temperature increased, Fatigue, Headache, Oropharyngeal pain — Feeling: FairFree text: Mild headache, sore throat, tired, slightly elevated tempMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
-
2021-04-22
Dose 2 — Moderna
- 2021-04-29
-
2021-05-06
Survey response — day 14, dose 2MedDRA: Chest discomfort, Dysphonia, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Some sore throat, tight chest and scratchy voice ... but my kid had a negative-on-COVID nasty head cold so I blame him.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-21
- 2021-05-29
- 2021-06-03
-
2021-07-22
Survey response — 3 months, dose 2MedDRA: Body temperature increased, Nasopharyngitis, Productive cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Summer cold: sneezing, runny nose, chest congestion, 99.0-99.5 temp, eventually productive cough, then tapering and ongoing.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Body temperature increased, Chest discomfort, Fatigue, Headache, Pain — Feeling: Fair · Be unable to work or attend school, 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: Fever 99.5-100, heavy chest, body aches, headache, exhaustion, loss of taste and smellMedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-25
-
2021-12-03
Dose 3 — Pfizer-BioNTech
- 2021-12-09
- 2021-12-10
- 2021-12-17
-
2021-12-26
Survey response — day 21, dose 3MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Mild: sore throat, headache.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
-
2022-01-07
Survey response — day 35, dose 3MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
- 2022-03-04
- 2022-06-03
-
2022-12-03
Survey response — 12 months, dose 3MedDRA: Cough, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: "Fall crud" in late September: fever (99.5 for a few days, one of 100+), headache and sore throat and runny nose for a few days. Chest congestion and cough for weeks. Negative COVID OTC tests 3 times, negative PCR 2 times a week and a half apart.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 21, dose 1
Symptoms: Mild headache, sore throat, tired, slightly elevated temp
Release 8 — day 14, dose 2
Symptoms: Some sore throat, tight chest and scratchy voice ... but my kid had a negative-on-COVID nasty head cold so I blame him.
Release 9 — 3 months, dose 2
Symptoms: Summer cold: sneezing, runny nose, chest congestion, 99.0-99.5 temp, eventually productive cough, then tapering and ongoing.
Release 10 — 6 months, dose 2
Symptoms: Fever 99.5-100, heavy chest, body aches, headache, exhaustion, loss of taste and smell
Release 10 — day 21, dose 3
Symptoms: Mild: sore throat, headache.
Release 10 — day 35, dose 3
Symptoms: Headache
Release 12 — 12 months, dose 3
Symptoms: "Fall crud" in late September: fever (99.5 for a few days, one of 100+), headache and sore throat and runny nose for a few days. Chest congestion and cough for weeks. Negative COVID OTC tests 3 times, negative PCR 2 times a week and a half apart.
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 | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release