626-25232-19401
4 vaccinations
9 coded responses
44 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 068 / CT
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-21
- 2021-03-26
-
2021-04-01
Dose 2 — Moderna
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-03
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · HeadacheFree text: A little light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
-
2021-05-06
Survey response — day 35, dose 2MedDRA: Chills, Nasopharyngitis, Pyrexia, Sneezing — Feeling: Good · Be unable to workFree text: Bad cold with sneezing, chills, low grade fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-07-01
- 2021-09-30
-
2021-10-28
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-06
- 2021-11-11
- 2021-11-18
-
2021-11-25
Survey response — day 28, dose 3MedDRA: Constipation, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: FairFree text: Some congestion, sore throat, slight fever at times, mild pains, constipation.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Survey response — day 35, dose 3MedDRA: Cough, Headache, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Be unable to work or attend schoolFree text: Cold: sore throat, post nasal drip, coughing, sneezing, headache. No fever. Negative COVID antigen and PCR tests.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
-
2022-01-29
Survey response — 3 months, dose 3MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: UTIMedDRA releases: 2024-11 · check-in free text available
-
2022-01-29
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)
- 2022-02-02
- 2022-02-07
-
2022-04-07
Dose 4 — Moderna
-
2022-04-19
Survey response — day 7, dose 4MedDRA: Chills, Pyrexia — Feeling: GoodFree text: 7hrs after booster had chills and fever 101.7 F for about 24 hrsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-30
- 2022-05-05
- 2022-05-12
-
2022-05-19
Survey response — day 42, dose 4MedDRA: Cough, Pre-existing disease, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend schoolFree text: Congestion, coughing, post nasal drip, fever. Seemed to start as typical seasonal allergies. I've had home COVID tests and a PCR at the height of my symptoms, all negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Not sure when you last contacted me. I had COVID in June 2022.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): A little light headed
Release 8 — day 35, dose 2
Symptoms: Bad cold with sneezing, chills, low grade fever.
Release 10 — day 28, dose 3
Symptoms: Some congestion, sore throat, slight fever at times, mild pains, constipation.
Release 10 — day 35, dose 3
Symptoms: Cold: sore throat, post nasal drip, coughing, sneezing, headache. No fever. Negative COVID antigen and PCR tests.
Release 11 — 3 months, dose 3
Symptoms: UTI
Release 11 — day 7, dose 4
Systemic reaction (other): 7hrs after booster had chills and fever 101.7 F for about 24 hrs
Release 11 — day 42, dose 4
Symptoms: Congestion, coughing, post nasal drip, fever. Seemed to start as typical seasonal allergies. I've had home COVID tests and a PCR at the height of my symptoms, all negative.
Release 12 — 3 months, dose 4
Symptoms: Had COVID
Release 12 — 6 months, dose 4
Symptoms: Not sure when you last contacted me. I had COVID in June 2022.
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 | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release