64B-33418-81800
4 vaccinations
11 coded responses
25 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 017 / MA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
- 2021-02-26
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2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Chills, Fatigue or tirednessFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: A couple instances of sudden lightheaded feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Lower respiratory tract congestion, Nasal congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Bronchial and nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Mild congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 7, dose 1MedDRA: Lower respiratory tract congestion — Feeling: FairFree text: Bronchial congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 14, dose 1MedDRA: Laryngitis, Lower respiratory tract congestion, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bronchial congestion, laryngitis · Healthcare visit (other): Doctors office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
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2021-03-26
Dose 2 — Moderna
- 2021-03-26
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body achesAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Tenderness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Underarm tenderness - arm of injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Lower respiratory tract congestion, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bronchial congestion just like after the first vaccine - had to increase inhaler use and use mucinexMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Lower respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bronchial congestion - asthma symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Lower respiratory tract congestion — Feeling: FairFree text: Bronchial congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-24
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2021-11-02
Dose 3 — Moderna
- 2022-03-02
- 2022-03-28
- 2022-05-03
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2022-05-12
Dose 4 — Moderna
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2022-05-19
Survey response — day 7, dose 4MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Swelling, ItchingFree text: Had a couple of bruises form near the injection site a few days after the injection. No redness at any time.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-06-02
- 2022-06-16
- 2022-06-23
- 2023-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose
Systemic reaction (other): A couple instances of sudden lightheaded feeling
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Bronchial and nasal congestion
Systemic reaction (other): Mild congestion
Release 5 — day 7, dose 1
Systemic reaction (other): Bronchial congestion
Release 5 — day 14, dose 1
Symptoms: Bronchial congestion, laryngitis
Healthcare visit (other): Doctors office visit
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Underarm tenderness - arm of injection site
Systemic reaction (other): Bronchial congestion just like after the first vaccine - had to increase inhaler use and use mucinex
Systemic reaction (other): Bronchial congestion - asthma symptoms
Systemic reaction (other): Bronchial congestion
Release 11 — day 7, dose 4
Systemic reaction (other): Had a couple of bruises form near the injection site a few days after the injection. No redness at any time.
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 | Laryngitis | ✓ | ✓ | ✓ |
| SD | Lower respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Lower respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release