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63S-28159-80191

3 vaccinations 4 coded responses 26 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
334 / FL
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Nausea
    Adult check-in
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Productive cough — Feeling: Good · Headache
    Free text: Lot of phlegm and coughing it up clear
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain upper, Diarrhoea, Headache, Productive cough, Vomiting — Feeling: Good · Be unable to do your normal daily activities
    Free text: 4am today pain In stomach, threw up a lot of phlegm and had multiple diarrhea bouts. Slight headache when I woke up. Fine now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-23
    Dose 2 — Moderna
  13. 2021-02-23
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  20. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-20
    Dose 3 — Moderna
  27. 2021-08-24
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain upper, Chills, Dizziness, Erythema, Headache, Pain in extremity, Peripheral swelling, Tenderness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Chills, bad headaches. Stomach ache, some dizziness for 3 days only. Arm of injection still red, swollen, tender but no longer hurts
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-11-19
    Survey response — 3 months, dose 3
    MedDRA: Cough, Diarrhoea, Dyspnoea, Hyperhidrosis, Unevaluable event, Vomiting — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Noroviris maybe. Hot sweats, vomiting and diahrea all at the same time - dry cough, only one day - Nov. 16, 2021 Dofficulty breathing. Nothing to do with Booster · Healthcare visit (other): Medication
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-19
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  30. 2021-11-29
  31. 2022-02-18
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-08-20
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-23Moderna
32021-08-20Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Lot of phlegm and coughing it up clear

Release 3 — day 14, dose 1

2021-02-09

Symptoms: 4am today pain In stomach, threw up a lot of phlegm and had multiple diarrhea bouts. Slight headache when I woke up. Fine now

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Chills, bad headaches. Stomach ache, some dizziness for 3 days only. Arm of injection still red, swollen, tender but no longer hurts

Release 10 — 3 months, dose 3

2021-11-19

Symptoms: Noroviris maybe. Hot sweats, vomiting and diahrea all at the same time - dry cough, only one day - Nov. 16, 2021 Dofficulty breathing. Nothing to do with Booster
Healthcare visit (other): Medication

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDAbdominal pain upper ✓ ✓ ✓
SDChills ✓ · ✓
SDCough · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness ✓ · ✓
SDDyspnoea · · ✓
SDErythema ✓ · ✓
SDHeadache ✓ ✓ ✓
SDHyperhidrosis · · ✓
SDPain in extremity ✓ · ✓
SDPeripheral swelling ✓ · ✓
SDProductive cough ✓ · ✓
SDTenderness ✓ · ✓
SDVomiting ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROProductive cough ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release