695-11839-84073
4 vaccinations
8 coded responses
39 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 803 / CO
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Sore arm at injection, but improving. Not a big deal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
-
2021-02-11
Survey response — day 14, dose 1MedDRA: Injection site erythema, Rash macular — Feeling: GoodFree text: Day 8 post-shot red blotchy arm at injection site. Lasted 2-3 days. Not itchy or hot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Sore throat in morning, slightly drippy nose, but able to walk outside for 30+ minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-09-28
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-12-28
-
2022-03-29
Survey response — 6 months, dose 3MedDRA: Brain fog, Fatigue, Laboratory test abnormal, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tested 1/07/22. Result was positive 1/10/22. Slight sore throat, fatigue, brain fog. Lasted 5 days.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Dose 4 — Pfizer-BioNTech
-
2022-05-14
Survey response — day 14, dose 4MedDRA: Cough, Fatigue, Lacrimation increased, Nasopharyngitis, Rhinorrhoea, Throat irritation — Feeling: FairFree text: Cold-like symptoms, scratchy throat, runny nose and eyes, dry cough, fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Survey response — day 21, dose 4MedDRA: Cough, Nasal congestion, Nasopharyngitis, Throat irritation — Feeling: FairFree text: Cold symptoms, scratchy throat, dry cough, nasal congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
-
2022-06-03
Survey response — day 35, dose 4MedDRA: Glossodynia, Oral pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore mouth. Initially had sore tongue, but that's gone.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-06
- 2022-06-10
- 2022-07-29
- 2022-10-28
-
2023-04-29
Survey response — 12 months, dose 4MedDRA: Age-related macular degeneration — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-09-28 | Moderna | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm at injection, but improving. Not a big deal.
Release 4 — day 14, dose 1
Symptoms: Day 8 post-shot red blotchy arm at injection site. Lasted 2-3 days. Not itchy or hot.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat in morning, slightly drippy nose, but able to walk outside for 30+ minutes.
Release 11 — 6 months, dose 3
Symptoms: Tested 1/07/22. Result was positive 1/10/22. Slight sore throat, fatigue, brain fog. Lasted 5 days.
Release 11 — day 14, dose 4
Symptoms: Cold-like symptoms, scratchy throat, runny nose and eyes, dry cough, fatigue.
Release 11 — day 21, dose 4
Symptoms: Cold symptoms, scratchy throat, dry cough, nasal congestion.
Release 11 — day 35, dose 4
Symptoms: Sore mouth. Initially had sore tongue, but that's gone.
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 | Age-related macular degeneration | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Glossodynia | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release