6U6-19208-79333
5 vaccinations
6 coded responses
43 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 917 / CA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-13
Dose 2 — Moderna
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
-
2021-08-14
Survey response — 6 months, dose 2MedDRA: Arthropod bite, Asthma, Cough, Productive cough, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough wheezing, phlegm , stopped w prednisone & inhaler for asthma Then days later lots of flea bitesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-14
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-24
Dose 3 — Moderna
-
2021-10-24
Survey response — day 0, dose 3MedDRA: Chills, Initial insomnia — Feeling: Good · Site: Pain, Swelling, Itching · Be unable to do your normal daily activitiesFree text: Had chills & difficulty falling asleep the night after the boosterMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2021-12-09
- 2022-01-23
-
2022-04-01
Dose 4 — Moderna
-
2022-04-14
Survey response — day 7, dose 4MedDRA: Adverse reaction — Feeling: GoodFree text: I had several of the above symptoms within the 48hrs of the injection.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
-
2022-05-13
Survey response — day 42, dose 4MedDRA: Productive cough, Rhinorrhoea — Feeling: GoodFree text: Runny nose & phlegm accumulation probably due to extreme windsMedDRA releases: 2024-11 · check-in free text available
-
2022-07-01
Survey response — 3 months, dose 4MedDRA: COVID-19, Feeling abnormal — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: I had covid omicron variant. Took 5 day paxlovid regimen. Felt awful!MedDRA releases: 2024-11 · check-in free text available
-
2022-07-01
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-07-05
- 2022-07-05
-
2022-09-24
Dose 5 — Moderna
-
2022-09-24
Survey response — day 0, dose 5MedDRA: Chills, Injection site pain — Feeling: GoodFree text: Did have chills night of the injection. Pain in site for 3 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-12-24
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-24 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 9 — 6 months, dose 2
Symptoms: Cough wheezing, phlegm , stopped w prednisone & inhaler for asthma Then days later lots of flea bites
Release 10 — day 0, dose 3
Systemic reaction (other): Had chills & difficulty falling asleep the night after the booster
Release 11 — day 7, dose 4
Systemic reaction (other): I had several of the above symptoms within the 48hrs of the injection.
Release 11 — day 42, dose 4
Symptoms: Runny nose & phlegm accumulation probably due to extreme winds
Release 12 — 3 months, dose 4
Symptoms: I had covid omicron variant. Took 5 day paxlovid regimen. Felt awful!
Release 12 — day 0, dose 5
Systemic reaction (other): Did have chills night of the injection. Pain in site for 3 days.
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 | Arthropod bite | ✓ | · | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Wheezing | ✓ | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Initial insomnia | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release