5EG-91769-46211
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 947 / CA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-16
Dose 1 — Moderna
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2021-01-17
Registered in v-safe
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-31
- 2021-02-06
- 2021-02-13
-
2021-02-15
Dose 2 — Moderna
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Muscle or body achesAdult check-in
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pruritus, Oral herpes — Feeling: Good · Site: Redness, Itching · FeverFree text: the ladt 2-3 days i am experiencing a few "cold sore" breakouts, one in lower lip and another in my private, "saddle-sore" area. The latter could be from my bicycle shorts, but that doesn't explain the one on lip. the point is they are both in thin-skin, sensitive-skin membrane areas. And they councide with a bit of itching, redness near the injection site. i'll take a Benedryl tonight at bedtime, hope that knocks it all down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Itching · Headache, Muscle or body achesAdult check-in
- 2021-03-01
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2021-03-08
Survey response — day 21, dose 2MedDRA: Seasonal allergy, Sinusitis — Feeling: PoorFree text: Sinus infection, likely cuz allergy seasonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-03-31
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2021-05-18
Survey response — 3 months, dose 2MedDRA: Arthralgia, Back pain, Medial tibial stress syndrome, Pain in extremity, Sciatica — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe sciatica on right side manifesting in acute pain in knee, front shin/calf muscles (medial and lateral), thigh, hip and lower back. At first thought blood clot. Pain now relieving (can now stand, walk and lie flat): Rest, ice, self-massage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-16
Survey response — 6 months, dose 2MedDRA: Dry throat, Nasopharyngitis — Feeling: GoodFree text: After a crowded open air concert on August 1st, mild dry throat and minor sinus cold symtoms which resolved completely in about 6 days.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-15 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): the ladt 2-3 days i am experiencing a few "cold sore" breakouts, one in lower lip and another in my private, "saddle-sore" area. The latter could be from my bicycle shorts, but that doesn't explain the one on lip. the point is they are both in thin-skin, sensitive-skin membrane areas. And they councide with a bit of itching, redness near the injection site. i'll take a Benedryl tonight at bedtime, hope that knocks it all down.
Release 5 — day 21, dose 2
Symptoms: Sinus infection, likely cuz allergy season
Release 8 — 3 months, dose 2
Symptoms: Severe sciatica on right side manifesting in acute pain in knee, front shin/calf muscles (medial and lateral), thigh, hip and lower back. At first thought blood clot. Pain now relieving (can now stand, walk and lie flat): Rest, ice, self-massage.
Release 9 — 6 months, dose 2
Symptoms: After a crowded open air concert on August 1st, mild dry throat and minor sinus cold symtoms which resolved completely in about 6 days.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Dry throat | ✓ | · | ✓ |
| SD | Medial tibial stress syndrome | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release