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PEK-66194-26864

2 vaccinations 4 coded responses 19 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
104 / NY
Registered
2021-09-10
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-10
    Registered in v-safe
  2. 2021-09-10
    Dose 1 — Moderna
  3. 2021-09-10
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-09-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-09-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-09-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-09-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Peripheral swelling — Feeling: Good
    Free text: Slight swelling of my hands but it went away
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-09-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-09-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-09-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-09-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-10-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-10-08
    Dose 2 — Moderna
  14. 2021-10-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-10-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-29
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-11-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-11-12
    Survey response — day 35, dose 2
    MedDRA: Menstruation delayed — Feeling: Good
    Free text: I have not gotten my period yet. It's three days late.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-01-07
    Survey response — 3 months, dose 2
    MedDRA: Nasal congestion, Sinus headache — Feeling: Good · Be unable to do your normal daily activities
    Free text: Nose is stuffy. Sinus headache
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-10-08
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — 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 · Emergency room or emergency department visit
    Free text: I have Covid
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-10-08
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  24. 2022-10-10
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-09-10Moderna No
22021-10-08Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-14

Systemic reaction (other): Slight swelling of my hands but it went away

Release 10 — day 35, dose 2

2021-11-12

Symptoms: I have not gotten my period yet. It's three days late.

Release 10 — 3 months, dose 2

2022-01-07

Symptoms: Nose is stuffy. Sinus headache

Release 12 — 12 months, dose 2

2022-10-08

Symptoms: I have 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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SDMenstruation delayed · · ✓
SDNasal congestion · · ✓
SDSinus headache · · ✓
SROPeripheral swelling · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release