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ZWF-28082-76936

5 vaccinations 12 coded responses 44 check-ins 11 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
930 / CA
Registered
2021-01-26
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chapped lips, Pain — Feeling: Good
    Free text: Cracked lower lip, with moderate pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chapped lips — Feeling: Good
    Free text: Cracked lower lip - moderate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-02
    Survey response — day 7, dose 1
    MedDRA: Chapped lips — Feeling: Good
    Free text: Cracked lip healing - mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-23
    Dose 2 — Moderna
  12. 2021-02-23
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches
    Adult check-in
  14. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-23
    Survey response — day 28, dose 2
    MedDRA: Rash — Feeling: Fair
    Free text: Rash on face, runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-25
    Survey response — 3 months, dose 2
    MedDRA: Cough, Headache, Oropharyngeal pain, Productive cough, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: 2 weeks ago ...Runny noseCoughPhlegm - on goingMild headacheSore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-24
    Survey response — 6 months, dose 2
    MedDRA: Nasal pruritus — Feeling: Good
    Free text: Itchy nose for about a day almost like mild allergy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-12-16
    Dose 3 — Moderna
  28. 2022-02-25
    Survey response — 12 months, dose 2
    MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good
    Free text: Had a sore throat. Was tested for Covid-19 and throat strep, both were negative. This was middle of December 2021.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-03-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-05-31
    Dose 4 — Moderna
  31. 2022-06-03
    Survey response — days 1–6 daily, dose 4
    MedDRA: Nasal congestion, Rhinorrhoea, Sneezing — Feeling: Poor · Muscle or body aches, Fatigue or tiredness
    Free text: Nasal congestion, runny nose, sneezing
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-06-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Muscle or body aches
    Adult check-in
  33. 2022-06-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  34. 2022-06-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-06-07
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-06-14
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-06-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-06-28
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-07-12
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-08-30
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-11-17
    Dose 5 — Pfizer-BioNTech
  42. 2022-11-29
    Survey response — 6 months, dose 4
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Covid-19
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-11-29
    Survey response — day 7, dose 5
    MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school
    Free text: Runny nose, sneeze
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-12-01
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  45. 2022-12-08
    Survey response — day 21, dose 5
    MedDRA: Cough, Malaise, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Runny nose, cough, sore throat, malaise
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-12-15
    Health check-in — day 28, dose 5
    Feeling: Fair
    Adult check-in
  47. 2022-12-22
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  48. 2022-12-29
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  49. 2023-02-18
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  50. 2023-05-18
    Survey response — 6 months, dose 5
    MedDRA: Oropharyngeal pain — 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 · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  51. 2023-05-18
    Report sent to call center — 6 months, dose 5
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  52. 2023-05-19

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-23Moderna
32021-12-16Moderna No
42022-05-31Moderna No
52022-11-17Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Cracked lower lip, with moderate pain

2021-02-01

Systemic reaction (other): Cracked lower lip - moderate

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Cracked lip healing - mild

Release 6 — day 28, dose 2

2021-03-23

Symptoms: Rash on face, runny nose

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: 2 weeks ago ...Runny noseCoughPhlegm - on goingMild headacheSore throat

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Itchy nose for about a day almost like mild allergy

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: Had a sore throat. Was tested for Covid-19 and throat strep, both were negative. This was middle of December 2021.

Release 11 — days 1–6 daily, dose 4

2022-06-03

Systemic reaction (other): Nasal congestion, runny nose, sneezing

Release 12 — 6 months, dose 4

2022-11-29

Symptoms: Covid-19

Release 12 — day 7, dose 5

2022-11-29

Systemic reaction (other): Runny nose, sneeze

Release 12 — day 21, dose 5

2022-12-08

Symptoms: Runny nose, cough, sore throat, malaise

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
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDHeadache ✓ ✓ ✓
SDMalaise · · ✓
SDNasal pruritus ✓ · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SROChapped lips ✓ ✓ ✓
SRONasal congestion · · ✓
SROPain ✓ ✓ ✓
SRORhinorrhoea · · ✓
SROSneezing · · ✓

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