JB8-19605-17587
4 vaccinations
9 coded responses
46 check-ins
7 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 41-45
- ZIP prefix
- 890 / NV
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Taste disorder — Feeling: GoodFree text: I still have my smell and taste but taste seems a little affected. I feel great though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
-
2021-02-25
Survey response — day 21, dose 2MedDRA: Bronchitis, Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Runny/stuffy nose and bad cough. Probably Bronchitis.I tested negative for COVID so just a good ol' fashioned cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 28, dose 2MedDRA: Bronchitis, Hypersensitivity, Malaise, Productive cough — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Very bad bronchitis. Bad cough, productive x 2 weeks. Not sure how I got sick, I don't go anywhere & wasn't around anyone sick. I do have allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
- 2021-10-19
- 2021-10-25
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, ItchingFree text: Swollen lymph nodes in under arm same side as injection side.MedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Still have swollen lymph node in underarm but getting smallerMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 21, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Horrible cold- covid negativeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2021-12-26
- 2022-02-11
- 2022-05-13
- 2022-11-12
-
2022-12-02
Dose 4 — Pfizer-BioNTech
- 2022-12-21
- 2022-12-23
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2022-12-30
Survey response — day 28, dose 4MedDRA: Asthenia, COVID-19, Headache, Pain, Sinus disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have COVID!?! (sx started 12/24/22) body aches, sinus sx headache. No GI sx, no energy at all. I guess I wasn't good this year bc Santa brought me COVID.MedDRA releases: 2024-11 · check-in free text available
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2023-01-06
Survey response — day 35, dose 4MedDRA: COVID-19, Malaise, Nasal disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-01-13
Survey response — day 42, dose 4MedDRA: Chest pain, Emergency care, Fatigue, Pain, Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-01-13
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2023-01-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-12-02 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I still have my smell and taste but taste seems a little affected. I feel great though.
Release 4 — day 21, dose 2
Symptoms: Runny/stuffy nose and bad cough. Probably Bronchitis.I tested negative for COVID so just a good ol' fashioned cold.
Release 5 — day 28, dose 2
Symptoms: Very bad bronchitis. Bad cough, productive x 2 weeks. Not sure how I got sick, I don't go anywhere & wasn't around anyone sick. I do have allergies.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes in under arm same side as injection side.
Systemic reaction (other): Still have swollen lymph node in underarm but getting smaller
Release 10 — day 21, dose 3
Symptoms: Horrible cold- covid negative
Release 12 — day 28, dose 4
Symptoms: I have COVID!?! (sx started 12/24/22) body aches, sinus sx headache. No GI sx, no energy at all. I guess I wasn't good this year bc Santa brought me 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 | Asthenia | · | · | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasal disorder | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release