2DE-85192-16213
5 vaccinations
6 coded responses
14 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 949 / CA
- Registered
- 2022-10-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Moderna
-
2021-05-04
Dose 2 — Moderna
-
2021-12-07
Dose 3 — Moderna
-
2022-07-22
Dose 4 — Moderna
-
2022-10-07
Dose 5 — Moderna
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2022-10-08
Registered in v-safe
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2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2022-10-10
Survey response — days 1–6 daily, dose 5MedDRA: Oropharyngeal pain, Unevaluable event — Feeling: Fair · Site: PainFree text: Slight sore throat and sinusesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
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2022-10-12
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-13
- 2022-10-14
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2022-10-23
Survey response — day 14, dose 5MedDRA: Arthralgia, Fatigue, Myalgia, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, achy joints and muscles, slight roaring in earsMedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Survey response — day 21, dose 5MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative, Sinus pain, Sneezing — Feeling: FairFree text: Slight sore throat, sneezing, sore sinuses (my child has a cold, so far testing negative for covid)MedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Survey response — day 28, dose 5MedDRA: Influenza like illness, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: I developed a fever and flu like symptoms on Saturday 10/29. Rapid antigen home test was negative for COVID. I felt better after a few days.MedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — day 35, dose 5MedDRA: Ear pain, Lymphadenopathy, Oropharyngeal pain, Sinus pain — Feeling: FairFree text: Woke up with slight sinus and throat soreness, swollen gland in right throat, slightly sore right ear. A bit better now.MedDRA releases: 2024-11 · check-in free text available
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2022-11-18
Survey response — day 42, dose 5MedDRA: Fatigue, Pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Head congestion, slight fever, fatigue and body aches several days ago, better nowMedDRA releases: 2024-11 · check-in free text available
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | No |
| 2 | 2021-05-04 | Moderna | No |
| 3 | 2021-12-07 | Moderna | No |
| 4 | 2022-07-22 | Moderna | No |
| 5 | 2022-10-07 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Slight sore throat and sinuses
Release 12 — day 14, dose 5
Symptoms: Fatigue, achy joints and muscles, slight roaring in ears
Release 12 — day 21, dose 5
Symptoms: Slight sore throat, sneezing, sore sinuses (my child has a cold, so far testing negative for covid)
Release 12 — day 28, dose 5
Symptoms: I developed a fever and flu like symptoms on Saturday 10/29. Rapid antigen home test was negative for COVID. I felt better after a few days.
Release 12 — day 35, dose 5
Symptoms: Woke up with slight sinus and throat soreness, swollen gland in right throat, slightly sore right ear. A bit better now.
Release 12 — day 42, dose 5
Symptoms: Head congestion, slight fever, fatigue and body aches several days ago, better now
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 | Arthralgia | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release