6RE-24910-93625
4 vaccinations
4 coded responses
39 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-08
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: GoodFree text: Last Tuesday, 2/2, the 8th day after the shot I got a red rash on my arm around the injection site. It was a little itchy. The rash was completely gone in 36 hours it hasnt come backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-22
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Good · Site: ItchingFree text: Not sure if its related but I had a small nose bleed yesterday which is not something I normally getMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-30
- 2021-04-08
- 2021-05-27
- 2021-08-24
-
2021-10-22
Dose 3 — Moderna
- 2021-10-29
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-11
Dose 4 — Moderna
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-17
- 2022-05-23
-
2022-07-11
Survey response — 3 months, dose 4MedDRA: Cough, Dysphonia, Fatigue, Laboratory test abnormal, Pyrexia, Quarantine — Feeling: GoodFree text: 6/20 woke up with Hoarseness and coughing low grade fever 1st 36 hours i took paxlovid symptoms gone 5th day tested negative 4 days later hoarse & cough returned I tested positive again I quarantined - on 7/9 rapid was neg. Fatigue on 7/9&10MedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Laryngitis, Medical counselling, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had COVID June 20. Mild case cough and Laryngitis low grade fever the first day I took paxlovid. tested negative after 6 days. I got rebound 3 days later same symptoms that lasted 8 days I got the Moderna 2nd booster yesterday · Healthcare visit (other): Husband is a retired MD he prescribed paxlovidMedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-13
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 14, dose 1
Symptoms: Last Tuesday, 2/2, the 8th day after the shot I got a red rash on my arm around the injection site. It was a little itchy. The rash was completely gone in 36 hours it hasnt come back
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Not sure if its related but I had a small nose bleed yesterday which is not something I normally get
Release 12 — 3 months, dose 4
Symptoms: 6/20 woke up with Hoarseness and coughing low grade fever 1st 36 hours i took paxlovid symptoms gone 5th day tested negative 4 days later hoarse & cough returned I tested positive again I quarantined - on 7/9 rapid was neg. Fatigue on 7/9&10
Release 12 — 6 months, dose 4
Symptoms: I had COVID June 20. Mild case cough and Laryngitis low grade fever the first day I took paxlovid. tested negative after 6 days. I got rebound 3 days later same symptoms that lasted 8 days I got the Moderna 2nd booster yesterday
Healthcare visit (other): Husband is a retired MD he prescribed paxlovid
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 | Medical counselling | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release