LKC-28844-76456
3 vaccinations
4 coded responses
29 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 122 / NY
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-02-11
Dose 2 — Moderna
-
2021-02-12
Registered in v-safe
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-11-08
Dose 3 — Moderna
- 2021-11-08
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-22
-
2021-11-29
Survey response — day 21, dose 3MedDRA: Aphthous ulcer, Oral pain — Feeling: GoodFree text: Pain and canker sore in back of hard palateMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-13
- 2021-12-20
-
2022-02-07
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid-19MedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Survey response — 6 months, dose 3MedDRA: Atrial fibrillation, Nasopharyngitis — Feeling: Poor · 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 visitFree text: Atrial fibrillation and a cold nowMedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Report sent to call center — 6 months, dose 3Be 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 · 1 call case(s)
- 2022-05-10
-
2022-05-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-08
Survey response — 12 months, dose 3MedDRA: Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend schoolFree text: RSVMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 21, dose 3
Symptoms: Pain and canker sore in back of hard palate
Release 11 — 3 months, dose 3
Symptoms: Covid-19
Release 11 — 6 months, dose 3
Symptoms: Atrial fibrillation and a cold now
Release 12 — 12 months, dose 3
Symptoms: RSV
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 | Aphthous ulcer | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release