5EE-10020-92309
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 550 / MN
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: Earache, sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
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2021-02-18
Survey response — day 7, dose 1MedDRA: Diarrhoea — Feeling: Fair · Fatigue or tiredness, DiarrheaFree text: Loose stool for several days, didnt realize it was not due to more vegetables lately so did not report it immediately.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Insomnia, Pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body achesFree text: Headache and pain was last night, difficulty getting to sleep. Deep sleep during the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, NauseaFree text: Indigestion with almost every food! This is unusual for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-14
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-09
- 2021-04-14
- 2021-04-23
- 2021-06-09
- 2021-09-08
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2022-03-10
Survey response — 12 months, dose 2MedDRA: Medical counselling, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat. · Healthcare visit (other): COVID-19 phone nurse consultation followed by tests for COVID-19 and Streptococcus. All were negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-10
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Earache, sore throat.
Release 4 — day 7, dose 1
Systemic reaction (other): Loose stool for several days, didnt realize it was not due to more vegetables lately so did not report it immediately.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Headache and pain was last night, difficulty getting to sleep. Deep sleep during the night.
Systemic reaction (other): Indigestion with almost every food! This is unusual for me.
Release 11 — 12 months, dose 2
Symptoms: Sore throat.
Healthcare visit (other): COVID-19 phone nurse consultation followed by tests for COVID-19 and Streptococcus. All were negative.
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 | Medical counselling | · | · | ✓ |
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release