65N-18706-58885
4 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 190 / PA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
- 2021-04-01
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Moderna
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
-
2021-07-22
Survey response — 3 months, dose 2MedDRA: Immunology test abnormal, Pre-existing disease — Feeling: GoodFree text: I had a flare of an autoimmune disease, pemphigus foliaceus. Actually, I have no symptoms but my anti-desmoglein-1 level has jumped from 11 in Feb 2021 to 44 in June 2021, into the positive range.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Survey response — 6 months, dose 2MedDRA: Pulmonary pain, SARS-CoV-2 test negative — Feeling: GoodFree text: Some lung pain but I had a COVID test and it came back negative.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Dose 3 — Pfizer-BioNTech
-
2022-04-22
Survey response — 12 months, dose 2MedDRA: Condition aggravated, Pemphigus, Pre-existing disease — Feeling: GoodFree text: Recurrence of lesions due to pemphigus foliaceus, which had been in remission since Jan 2018.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-30
Dose 4 — Moderna
- 2022-05-14
-
2022-06-06
Survey response — day 35, dose 4MedDRA: COVID-19, Cough, Fatigue, Headache, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend schoolFree text: I have COVID-19 according to a rapid antigen test. Headache, a cough, not too bad but I'm very tired.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-11
- 2022-07-30
-
2022-10-31
Survey response — 6 months, dose 4MedDRA: Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rituximab treatment for an autoimmune disorder in July 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-01
- 2023-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-08 | Pfizer-BioNTech | No |
| 4 | 2022-04-30 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: I had a flare of an autoimmune disease, pemphigus foliaceus. Actually, I have no symptoms but my anti-desmoglein-1 level has jumped from 11 in Feb 2021 to 44 in June 2021, into the positive range.
Release 10 — 6 months, dose 2
Symptoms: Some lung pain but I had a COVID test and it came back negative.
Release 11 — 12 months, dose 2
Symptoms: Recurrence of lesions due to pemphigus foliaceus, which had been in remission since Jan 2018.
Release 11 — day 35, dose 4
Symptoms: I have COVID-19 according to a rapid antigen test. Headache, a cough, not too bad but I'm very tired.
Release 12 — 6 months, dose 4
Symptoms: Rituximab treatment for an autoimmune disorder in July 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 | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Immunology test abnormal | · | · | ✓ |
| SD | Pemphigus | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pulmonary pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release