65V-27092-14014
5 vaccinations
7 coded responses
34 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 935 / CA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
- 2021-01-27
- 2021-01-29
- 2021-01-30
- 2021-02-01
- 2021-02-09
- 2021-02-16
-
2021-02-23
Survey response — day 28, dose 1MedDRA: Fatigue, Rhinorrhoea, Sneezing — Feeling: FairFree text: Today , I am sneezing a lot , have a runny nose, and more tiredness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 3rd day taking 15 mg Xarelto BID for PE, feeling dizzy at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Day 4 of taking Xarelto 15 mg BID for PEMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event, Peak expiratory flow rate, Pulmonary embolism — Feeling: Good · Fatigue or tirednessFree text: Day 5 on Xarelto for me for PE diagnosed last Saturday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-27
Survey response — day 28, dose 2MedDRA: Alopecia — Feeling: GoodFree text: Noticed extreme hair thinning these past few weeks both for me and my husband, (b)(6), who was vaccinated the same with me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — day 35, dose 2MedDRA: Hair disorder — Feeling: GoodFree text: Continuing excessive hair shedding all over my head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-05-30
- 2021-08-27
-
2021-11-20
Dose 3 — Pfizer-BioNTech
- 2022-03-01
-
2022-04-06
Dose 4 — Pfizer-BioNTech
- 2022-04-25
- 2022-04-27
- 2022-05-06
- 2022-05-11
- 2022-05-19
- 2022-07-08
-
2022-09-23
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-05
- 2022-10-14
- 2022-11-04
- 2022-12-24
-
2023-03-24
Survey response — 6 months, dose 5MedDRA: Chills, Fatigue, Oropharyngeal pain, Pyrexia — 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 visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-03-24
Report sent to call center — 6 months, dose 5Be 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 · Emergency room or emergency department visit · 1 call case(s)
- 2023-03-27
- 2023-04-04
-
2023-04-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-20 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 4 — day 28, dose 1
Symptoms: Today , I am sneezing a lot , have a runny nose, and more tiredness.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): 3rd day taking 15 mg Xarelto BID for PE, feeling dizzy at times.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Day 4 of taking Xarelto 15 mg BID for PE
Systemic reaction (other): Day 5 on Xarelto for me for PE diagnosed last Saturday.
Release 6 — day 28, dose 2
Symptoms: Noticed extreme hair thinning these past few weeks both for me and my husband, (b)(6), who was vaccinated the same with me.
redacted (b)(6)
Release 6 — day 35, dose 2
Symptoms: Continuing excessive hair shedding all over my head.
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 | Alopecia | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hair disorder | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | No adverse event | ○ | ✓ | ○ |
| SRO | Peak expiratory flow rate | ○ | ✓ | ○ |
| SRO | Pulmonary embolism | ✓ | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release