QBU-16575-84017
4 vaccinations
3 coded responses
39 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-06-02
Survey response — 3 months, dose 2MedDRA: Pre-existing disease, Thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: A blood clot, but I have Factor V Leiden mutation. My doctor does not believe it was related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
-
2021-11-17
Dose 3 — Pfizer-BioNTech
- 2022-02-13
- 2022-03-03
-
2022-05-18
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · 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 consultationFree text: I can't remember if I've already report Covid diagnosis or notMedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-19
- 2022-05-19
-
2022-05-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-17
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-17
- 2022-11-18
- 2022-11-19
- 2022-11-21
- 2022-11-22
- 2022-11-23
- 2022-11-24
- 2022-12-01
-
2022-12-08
Survey response — day 21, dose 4MedDRA: Office visit, Pharyngitis streptococcal — 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 professionalFree text: Symptoms: I caught strep throat · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-12-09
-
2022-12-09
Call successfulNot applicable - Accidental Reporting
- 2022-12-15
- 2022-12-22
- 2022-12-29
- 2023-02-16
- 2023-05-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-11-17 | Pfizer-BioNTech | No |
| 4 | 2022-11-17 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 8 — 3 months, dose 2
Symptoms: A blood clot, but I have Factor V Leiden mutation. My doctor does not believe it was related to the vaccine.
Release 11 — 6 months, dose 3
Symptoms: I can't remember if I've already report Covid diagnosis or not
Release 12 — day 21, dose 4
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release