6KM-20983-66692
5 vaccinations
4 coded responses
31 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 029 / RI
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
-
2020-12-24
Dose 1 — Moderna
- 2020-12-24
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: FairFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
- 2020-12-29
- 2020-12-30
-
2020-12-31
Survey response — day 7, dose 1MedDRA: Injection site induration, Injection site mass — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Injection site is tough, can feel very small/mostly flat lumpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
-
2021-07-22
Survey response — 6 months, dose 2MedDRA: Tenosynovitis stenosans, Unevaluable event — Feeling: Good · 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: Symptoms: De Quervains tenosynovitis (possibly due to using my phone way more during lockdown!) · Healthcare visit (other): Cortisone injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-07-22
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
-
2021-07-29
Call successfulParticipant prefers to complete VAERS report online
-
2021-10-29
Dose 3 — Pfizer-BioNTech
- 2022-01-21
-
2022-04-28
Dose 4 — Pfizer-BioNTech
- 2022-05-10
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
-
2022-07-28
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough, Fatigue, Impaired work ability, Myalgia, Pregnancy, Respiratory tract congestion, Self-medication — Feeling: Good · Be unable to work or attend schoolFree text: COVID: cough, chest congestion, myalgias, fatigue. Out of work for 1 day, remote work 2 days. Took Tylenol PRN (minimized dose and frequency d/t pregnancy) with good effect.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Dose 5 — Pfizer-BioNTech
- 2022-10-27
- 2022-10-27
-
2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-11
- 2023-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-28 | Pfizer-BioNTech | No |
| 5 | 2022-10-26 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-22 | Successful 2021-07-29 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion
Release 1 — day 7, dose 1
Systemic reaction (other): Injection site is tough, can feel very small/mostly flat lump
Release 9 — 6 months, dose 2
Symptoms: De Quervains tenosynovitis (possibly due to using my phone way more during lockdown!)
Healthcare visit (other): Cortisone injection
Release 12 — 3 months, dose 4
Symptoms: COVID: cough, chest congestion, myalgias, fatigue. Out of work for 1 day, remote work 2 days. Took Tylenol PRN (minimized dose and frequency d/t pregnancy) with good effect.
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 | Unevaluable event | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Tenosynovitis stenosans | · | · | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release