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6CW-18332-49680

5 vaccinations 9 coded responses 38 check-ins 8 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
943 / CA
Registered
2021-04-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-04-02
    Dose 2 — Moderna
  3. 2021-04-04
    Registered in v-safe
  4. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Went to a family event in North Carolina. Four of us age 60+ (all of us fully vaccinated), who shared a rental house together, got a sore throat and cough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-08-08
    Dose 3 — Moderna
  17. 2021-10-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-11-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-02-06
    Survey response — 6 months, dose 3
    MedDRA: Back pain, Body temperature increased, COVID-19, Cognitive disorder, Fatigue, Medical counselling, Oropharyngeal pain, Oxygen saturation decreased, Rhinorrhoea — 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: Covid starting 12/26/21. Sore throat. Runny nose. Lower oxygen levels. Elevated temp. Sore lower back. Fatigue. Cognitive impairment. · Healthcare visit (other): PCR test. Also, consult with County health dept nurse.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-06
    Report sent to call center — 6 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)
  21. 2022-03-30
  22. 2022-04-22
    Dose 4 — Pfizer-BioNTech
  23. 2022-04-22
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-04-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  26. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-04-29
    Survey response — day 7, dose 4
    MedDRA: Insomnia, Middle insomnia — Feeling: Good
    Free text: For about a week after getting the booster, I woke every night at 3am and could not get back to sleep until about 5am. Last night (April 28) I finally slept normally.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-05-06
    Survey response — day 14, dose 4
    MedDRA: Fatigue, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I've been unusually tired this week. I took an at home rapid Covid test and it was negative.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-05-13
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-05-20
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-05-27
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-06-03
    Survey response — day 42, dose 4
    MedDRA: Pre-existing disease — Feeling: Fair
    Free text: I have CVID and take immune globulin. I feel like I'm getting another infection. Tests are next week.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-07-22
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  37. 2022-10-22
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-11-04
    Dose 5 — Moderna
  39. 2022-11-13
    Survey response — day 7, dose 5
    MedDRA: Back pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Back pain, especially lower back
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-11-18
    Survey response — day 14, dose 5
    MedDRA: Back pain, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache. Back pain, especially lower back.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-11-25
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  42. 2022-12-04
    Survey response — day 28, dose 5
    MedDRA: Back pain, Laboratory test abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: About 5 days after the booster, I had terrible lower back pain. I just had a routine annual blood test. My kidney function (BUN and creatinine) have always been within normal limits, but are not now.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-12-04
    Report sent to call center — day 28, dose 5
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  44. 2022-12-06
  45. 2022-12-06
  46. 2022-12-09
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  47. 2022-12-16
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  48. 2023-02-03
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in
  49. 2023-05-05
    Survey response — 6 months, dose 5
    MedDRA: Gastroenteritis viral, Hospitalisation — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    MedDRA releases: 2024-11
  50. 2023-05-05
    Report sent to call center — 6 months, dose 5
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  51. 2023-05-08
  52. 2023-05-08
  53. 2023-05-08

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-02Moderna
32021-08-08Moderna No
42022-04-22Pfizer-BioNTech No
52022-11-04Moderna No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Went to a family event in North Carolina. Four of us age 60+ (all of us fully vaccinated), who shared a rental house together, got a sore throat and cough.

Release 11 — 6 months, dose 3

2022-02-06

Symptoms: Covid starting 12/26/21. Sore throat. Runny nose. Lower oxygen levels. Elevated temp. Sore lower back. Fatigue. Cognitive impairment.
Healthcare visit (other): PCR test. Also, consult with County health dept nurse.

Release 11 — day 7, dose 4

2022-04-29

Systemic reaction (other): For about a week after getting the booster, I woke every night at 3am and could not get back to sleep until about 5am. Last night (April 28) I finally slept normally.

Release 11 — day 14, dose 4

2022-05-06

Symptoms: I've been unusually tired this week. I took an at home rapid Covid test and it was negative.

Release 11 — day 42, dose 4

2022-06-03

Symptoms: I have CVID and take immune globulin. I feel like I'm getting another infection. Tests are next week.

Release 12 — day 7, dose 5

2022-11-13

Systemic reaction (other): Back pain, especially lower back

Release 12 — day 14, dose 5

2022-11-18

Symptoms: Headache. Back pain, especially lower back.

Release 12 — day 28, dose 5

2022-12-04

Symptoms: About 5 days after the booster, I had terrible lower back pain. I just had a routine annual blood test. My kidney function (BUN and creatinine) have always been within normal limits, but are not now.

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
HCVOMedical counselling · · ✓
SDBack pain · · ✓
SDBody temperature increased · · ✓
SDCognitive disorder · · ✓
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDGastroenteritis viral · · ✓
SDHeadache · · ✓
SDHospitalisation · · ✓
SDLaboratory test abnormal · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDOxygen saturation decreased · · ✓
SDPre-existing disease · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SROBack pain · · ✓
SROInsomnia · · ✓
SROMiddle insomnia · · ✓

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