5RH-35048-60035
4 vaccinations
13 coded responses
53 check-ins
13 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 035 / NH
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
-
2021-04-02
Survey response — day 7, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These symptoms occurred last night after my badge check in , but gone today .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — day 14, dose 1MedDRA: Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Vertigo onset 8 days after vaccine . Not sure if related . No prior history of vertigo .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-16
Survey response — day 21, dose 1MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: Vertigo persists but not as frequent or as severe now . Was unable to drive for over 1 week .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
-
2021-04-30
Dose 2 — Moderna
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Dizziness with change of position ; mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Some residual dizziness with position change , but less severe and less frequentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Vertigo — Feeling: GoodFree text: Intermittent dizziness / Vertigo.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Mild intermittent dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-07-30
- 2021-10-29
-
2021-11-06
Dose 3 — Pfizer-BioNTech
-
2021-11-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
-
2021-12-18
Survey response — day 42, dose 3MedDRA: Medical counselling, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: UTI · Healthcare visit (other): Phone callMedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-02-05
Survey response — 3 months, dose 3MedDRA: Arthralgia, Chills, Decreased appetite, Fatigue, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash on legs , joint pains , chills , fatigue , lack of appetiteMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-04-22
Dose 4 — Pfizer-BioNTech
- 2022-04-22
-
2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
-
2022-05-20
Survey response — day 28, dose 4MedDRA: Blood urine present, Micturition urgency, Pollakiuria, Urinary tract discomfort, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Urinary tract infection . Frequency , urgency , discomfort and blood in urine Got antibiotics and Pyridium ; symptoms resolving quickly . Not likely related to vaccine in my opinion .MedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-27
- 2022-06-03
- 2022-07-22
- 2022-10-21
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-11-06 | Pfizer-BioNTech | No |
| 4 | 2022-04-22 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): These symptoms occurred last night after my badge check in , but gone today .
Release 7 — day 14, dose 1
Symptoms: Vertigo onset 8 days after vaccine . Not sure if related . No prior history of vertigo .
Release 7 — day 21, dose 1
Symptoms: Vertigo persists but not as frequent or as severe now . Was unable to drive for over 1 week .
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness with change of position ; mild
Systemic reaction (other): Some residual dizziness with position change , but less severe and less frequent
Systemic reaction (other): Intermittent dizziness / Vertigo.
Release 8 — day 7, dose 2
Systemic reaction (other): Mild intermittent dizziness
Release 10 — day 42, dose 3
Release 11 — 3 months, dose 3
Symptoms: Rash on legs , joint pains , chills , fatigue , lack of appetite
Release 11 — day 28, dose 4
Symptoms: Urinary tract infection . Frequency , urgency , discomfort and blood in urine Got antibiotics and Pyridium ; symptoms resolving quickly . Not likely related to vaccine in my opinion .
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 | Medical counselling | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Blood urine present | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Micturition urgency | · | · | ✓ |
| SD | Pollakiuria | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urinary tract discomfort | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release