5YU-18899-97619
5 vaccinations
2 coded responses
45 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
- 2021-02-16
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-02
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-05-17
Survey response — 3 months, dose 2MedDRA: Office visit, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Ortopedic or nerve issue. I doubt its related to vaccine. Ive had surgery in past even chemo and am glued together. No virus symptoms. I still do mask/precautions · Healthcare visit (other): Dr visit scheduledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-17
-
2021-10-22
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-30
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-27
- 2021-12-03
-
2022-01-21
Survey response — 3 months, dose 3MedDRA: Exposure to SARS-CoV-2, Nasal congestion, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dec 19 2021 I ran a fever and then had nasal congestion. My daughter had COVID on the 15th and toddler grandson the 17th. We all tested positive . All are fine now. She had antibody treatment and he had nebulizer. I had nothing in my chest.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-24
-
2022-01-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-05-14
Dose 4 — Moderna
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-06-25
- 2022-08-13
-
2022-09-12
Dose 5 — Moderna
- 2022-09-29
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-12-12
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-14 | Moderna | No |
| 5 | 2022-09-12 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — 3 months, dose 2
Symptoms: Ortopedic or nerve issue. I doubt its related to vaccine. Ive had surgery in past even chemo and am glued together. No virus symptoms. I still do mask/precautions
Healthcare visit (other): Dr visit scheduled
Release 11 — 3 months, dose 3
Symptoms: Dec 19 2021 I ran a fever and then had nasal congestion. My daughter had COVID on the 15th and toddler grandson the 17th. We all tested positive . All are fine now. She had antibody treatment and he had nebulizer. I had nothing in my chest.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release