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6KN-64386-80642

5 vaccinations 6 coded responses 35 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
287 / NC
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Fair · None
    Adult check-in
  9. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-02-08
    Dose 2 — Moderna
  12. 2021-02-15
    Health check-in — day 7, dose 2
    Feeling: Fair · None
    Adult check-in
  13. 2021-02-22
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-11
    Survey response — 6 months, dose 2
    MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Had a really bad cold right after Fathers Day weekend when we had eaten at a Mexican restaurant. It lasted about 3 or 4 weeks. Cough was terrible. Got tested for covid but it was negative.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-09-03
    Dose 3 — Moderna
  21. 2021-12-03
    Survey response — 3 months, dose 3
    MedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: UTI · Healthcare visit (other): Primary Health Care
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-03
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-12-06
  24. 2022-03-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-04-12
    Dose 4 — Moderna
  26. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None · Be unable to do your normal daily activities
    Adult check-in
  27. 2022-04-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Feeling fair is because of pain in my hip and leg not from the Covid vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-04-21
    Survey response — day 7, dose 4
    MedDRA: Arthralgia, Back pain, Pain in extremity, Pre-existing disease — Feeling: Fair · Joint pains · Be unable to do your normal daily activities
    Free text: I have had two serious back surgeries and am having pain again in my back, hip and leg but it is not caused because of the Covid shot.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-04-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-05-10
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-05-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-05-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-07-15
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-09-03
    Dose 5 — Moderna
    Co-administered: Flu
  38. 2022-09-14
    Survey response — day 7, dose 5
    MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Fever · Headache · Be unable to work or attend school
    Free text: I have Covid. Tested positive on Tuesday 9/13/2022
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-09-17
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  40. 2022-09-24
    Survey response — day 21, dose 5
    MedDRA: COVID-19, SARS-CoV-2 test negative — Feeling: Good
    Free text: I had Covid. Diagnosed on sept 13. Very mild case. Took Paxlovid for 5 days. Tested negative on Sept. 18.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-10-03
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  42. 2022-10-08
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  43. 2022-10-15
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-12-03
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna
32021-09-03Moderna No
42022-04-12Moderna No
52022-09-03Moderna Flu

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Had a really bad cold right after Fathers Day weekend when we had eaten at a Mexican restaurant. It lasted about 3 or 4 weeks. Cough was terrible. Got tested for covid but it was negative.

Release 10 — 3 months, dose 3

2021-12-03

Symptoms: UTI
Healthcare visit (other): Primary Health Care

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): Feeling fair is because of pain in my hip and leg not from the Covid vaccine.

Release 11 — day 7, dose 4

2022-04-21

Systemic reaction (other): I have had two serious back surgeries and am having pain again in my back, hip and leg but it is not caused because of the Covid shot.

Release 12 — day 7, dose 5

2022-09-14

Systemic reaction (other): I have Covid. Tested positive on Tuesday 9/13/2022

Release 12 — day 21, dose 5

2022-09-24

Symptoms: I had Covid. Diagnosed on sept 13. Very mild case. Took Paxlovid for 5 days. Tested negative on Sept. 18.

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
HCVOOffice visit · · ✓
SDCough ✓ · ✓
SDCOVID-19 · · ✓
SDNasopharyngitis ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SDUrinary tract infection · · ✓
SROArthralgia · · ✓
SROBack pain · · ✓
SROPain in extremity · · ✓
SROPre-existing disease · · ✓
SROSARS-CoV-2 test positive · · ✓

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