5RH-21962-03279
6 vaccinations
15 coded responses
61 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 441 / OH
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-06-10
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Copd exacerbation due to excessive pollen outdoors and unavoidable dust exposure indoorsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-09
-
2021-10-31
Dose 3 — Moderna
- 2021-11-05
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Chills, Pain in extremity — Feeling: GoodFree text: I did not start v-check until later in the week after my 3rd shot. I was not given the chance to report initial symptoms. First day, a sore arm. Second day, chills all day + 100 degree fever that evening. Third day all good.MedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — day 7, dose 3MedDRA: Pre-existing disease — Feeling: FairFree text: My health status is not related to the vaccine. I chose Fair since I have a chronic illness.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2021-12-12
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: Chills, Condition aggravated, Diarrhoea, Nausea, Pre-existing disease, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: An unusually bad COPD flare up on Dec. 22nd. Besides my usual symptoms, I had chills, a low grade fever, nausea, diarrhea. Two at home Binax test spaces 3 days apart and one PCR test at urgent care one week after symptoms started were all Negative.MedDRA releases: 2024-11 · check-in free text available
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2022-01-30
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-21
Dose 4 — Moderna
- 2022-04-21
-
2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
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2022-05-12
Survey response — day 21, dose 4MedDRA: Injection site pain — Feeling: GoodFree text: Sore area on my arm yesterday in the area where I received my Moderna second booster shotMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Survey response — day 28, dose 4MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nauseous and fatigued.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-06-02
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2022-07-21
Survey response — 3 months, dose 4MedDRA: Condition aggravated, Dizziness, Oxygen saturation decreased, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I Seem to be having a mild COPD exacerbation over the past few days. My oxygen levels drop when I walk 50 feet. I can only maintain .8 mph on a treadmill without oxy dropping too low. Today, I feel quite faint so I plan to take an at home CoVid test.MedDRA releases: 2024-11 · check-in free text available
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2022-10-15
Dose 5 — Moderna
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2022-10-20
Survey response — 6 months, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: IMPORTANT: I just recently had the newest Moderna booster shot on Sat., Oct 15, 2022 Yes, but just a normal (for me) mild COPD exacerbation for the past 10 days. Just a little worse today. Otherwise, feeling good enough.MedDRA releases: 2024-11 · check-in free text available
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2022-10-20
Survey response — days 1–6 daily, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: Not related to the vaccine, but I have an ongoing mild COPD exacerbation that started on Oct 9th, before my vaccine on Oct 15th.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-22
- 2022-10-29
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2022-11-05
Survey response — day 21, dose 5MedDRA: Cough, Dyspnoea, Fatigue — Feeling: FairFree text: Coughing, breathlessness, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-11-12
- 2022-11-19
- 2022-11-26
- 2023-01-14
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2023-04-17
Survey response — 6 months, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-04-17
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-18
- 2023-04-18
-
2023-05-10
Dose 6 — Moderna
- 2023-05-10
- 2023-05-11
-
2023-05-12
Survey response — days 1–6 daily, dose 6MedDRA: Condition aggravated, Oxygen saturation decreased, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-13
- 2023-05-14
-
2023-05-15
Survey response — days 1–6 daily, dose 6MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-16
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2023-05-17
Survey response — day 7, dose 6MedDRA: Condition aggravated, Dyspnoea, Oxygen saturation decreased, Pre-existing disease — Feeling: FairMedDRA releases: 2024-11
- 2023-05-24
- 2023-05-31
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2023-06-07
Survey response — day 28, dose 6MedDRA: Dyspnoea, Pre-existing disease — Feeling: GoodMedDRA releases: 2024-11
- 2023-06-14
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-10-15 | Moderna | No |
| 6 | 2023-05-10 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: Copd exacerbation due to excessive pollen outdoors and unavoidable dust exposure indoors
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I did not start v-check until later in the week after my 3rd shot. I was not given the chance to report initial symptoms. First day, a sore arm. Second day, chills all day + 100 degree fever that evening. Third day all good.
Release 10 — day 7, dose 3
Systemic reaction (other): My health status is not related to the vaccine. I chose Fair since I have a chronic illness.
Release 11 — 3 months, dose 3
Symptoms: An unusually bad COPD flare up on Dec. 22nd. Besides my usual symptoms, I had chills, a low grade fever, nausea, diarrhea. Two at home Binax test spaces 3 days apart and one PCR test at urgent care one week after symptoms started were all Negative. cut off by CDC
Release 11 — day 21, dose 4
Symptoms: Sore area on my arm yesterday in the area where I received my Moderna second booster shot
Release 11 — day 28, dose 4
Symptoms: Nauseous and fatigued.
Release 12 — 3 months, dose 4
Symptoms: I Seem to be having a mild COPD exacerbation over the past few days. My oxygen levels drop when I walk 50 feet. I can only maintain .8 mph on a treadmill without oxy dropping too low. Today, I feel quite faint so I plan to take an at home CoVid test. cut off by CDC
Release 12 — 6 months, dose 4
Symptoms: IMPORTANT: I just recently had the newest Moderna booster shot on Sat., Oct 15, 2022 Yes, but just a normal (for me) mild COPD exacerbation for the past 10 days. Just a little worse today. Otherwise, feeling good enough.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Not related to the vaccine, but I have an ongoing mild COPD exacerbation that started on Oct 9th, before my vaccine on Oct 15th.
Release 12 — day 21, dose 5
Symptoms: Coughing, breathlessness, fatigue
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 | Chills | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Oxygen saturation decreased | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release