5UV-10481-25609
5 vaccinations
5 coded responses
43 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 562 / MN
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
- 2021-03-25
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
-
2021-05-19
Survey response — day 35, dose 2MedDRA: Abdominal distension, Abdominal pain — Feeling: GoodFree text: Bloating, sore lower abdomen. Its not due to a menstrual cycle or constipation. It resolved after five days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-10-28
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-13
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
-
2022-01-27
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Paranasal sinus discomfort, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Caught a bad cold. Congestion, runny nose, sinus pressure. Three negative at home tests and one negative Covid test at the clinic, so just a cold.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Dose 4 — Moderna
- 2022-04-28
-
2022-05-18
Survey response — day 21, dose 4MedDRA: Fatigue, Increased appetite — Feeling: FairFree text: More tired than I was with the other shots for a longer time. Plus, sometimes my appetite seems uncontrollable compared to pre booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-07-27
-
2022-09-28
Dose 5 — Moderna
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
-
2022-12-28
Survey response — 3 months, dose 5MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have chest congestion, and a cough, but I am convinced it is just the seasonal crud and not a reoccurrence of Covid. I did an at home Covid test and it was negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-28
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-29
-
2022-12-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-03-29
Survey response — 6 months, dose 5MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-29
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-03-30
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-27 | Moderna | No |
| 5 | 2022-09-28 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 35, dose 2
Symptoms: Bloating, sore lower abdomen. Its not due to a menstrual cycle or constipation. It resolved after five days.
Release 11 — 3 months, dose 3
Symptoms: Caught a bad cold. Congestion, runny nose, sinus pressure. Three negative at home tests and one negative Covid test at the clinic, so just a cold.
Release 11 — day 21, dose 4
Symptoms: More tired than I was with the other shots for a longer time. Plus, sometimes my appetite seems uncontrollable compared to pre booster.
Release 12 — 3 months, dose 5
Symptoms: I have chest congestion, and a cough, but I am convinced it is just the seasonal crud and not a reoccurrence of Covid. I did an at home Covid test and it was negative.
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 distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Increased appetite | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release