8R6-87680-49116
5 vaccinations
3 coded responses
50 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 800 / CO
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-05-01
Dose 2 — Moderna
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-07-31
- 2021-10-30
-
2021-11-27
Dose 3 — Moderna
- 2022-05-01
-
2022-06-25
Dose 4 — Pfizer-BioNTech
- 2022-06-25
-
2022-06-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-09
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-08-06
- 2022-09-24
-
2022-10-01
Dose 5 — Pfizer-BioNTech
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-15
- 2022-10-22
-
2022-10-29
Survey response — day 28, dose 5MedDRA: Cough, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend schoolFree text: Fever, aches, headache, stuffy nose, sore throat, cough, severe fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Survey response — day 35, dose 5MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend schoolFree text: CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-11-12
- 2022-12-31
-
2023-04-01
Survey response — 6 months, dose 5MedDRA: Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-01
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-05-01 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
| 4 | 2022-06-25 | Pfizer-BioNTech | No |
| 5 | 2022-10-01 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 28, dose 5
Symptoms: Fever, aches, headache, stuffy nose, sore throat, cough, severe fatigue.
Release 12 — day 35, dose 5
Symptoms: Covid
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release