5UV-20336-92003
5 vaccinations
8 coded responses
45 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 602 / IL
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-25
Registered in v-safe
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2021-01-25
Dose 1 — Moderna
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2021-01-25
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Slight lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Im fine now, but the evening after my injection I had mild chills and fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
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2021-02-24
Dose 2 — Moderna
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I would like to report my symptoms from my second dose which was on Feb. 24. They were severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Pain, Pyrexia, Vomiting — Feeling: Fair · Site: Pain · Fever · Nausea · Be unable to do your normal daily activitiesFree text: Is there a way for me to report my symptoms from Wednesday and Thursday after I received my 2nd dose? VSafe did not contact me then, but my symptoms were severe: high fever, chills, aches, vomiting and extreme fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Unevaluable event — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Ran slight temp last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Health check-in — day 7, dose 2Feeling: Good · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
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2021-11-11
Dose 3 — Moderna
- 2022-02-24
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2022-04-08
Dose 4 — Moderna
- 2022-04-19
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-07-10
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2022-10-07
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had Covid in July.MedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-10
Dose 5 — Moderna
- 2022-11-10
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2022-11-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, NauseaAdult check-in
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
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2022-12-15
Survey response — day 35, dose 5MedDRA: COVID-19, SARS-CoV-2 test, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have Covid. Tested positive (PCR) yesterday. · Healthcare visit (other): Test for CovidMedDRA releases: 2024-11 · check-in free text available
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2022-12-15
Report sent to call center — day 35, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-16
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2022-12-22
Survey response — day 42, dose 5MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had Covid last week.MedDRA releases: 2024-11 · check-in free text available
- 2023-02-09
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-11-10 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Slight lightheadedness
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Im fine now, but the evening after my injection I had mild chills and fatigue.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I would like to report my symptoms from my second dose which was on Feb. 24. They were severe.
Systemic reaction (other): Is there a way for me to report my symptoms from Wednesday and Thursday after I received my 2nd dose? VSafe did not contact me then, but my symptoms were severe: high fever, chills, aches, vomiting and extreme fatigue.
Systemic reaction (other): Ran slight temp last night.
Release 12 — 6 months, dose 4
Symptoms: Had Covid in July.
Release 12 — day 35, dose 5
Symptoms: I have Covid. Tested positive (PCR) yesterday.
Healthcare visit (other): Test for Covid
Release 12 — day 42, dose 5
Symptoms: Had Covid last week.
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ○ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release