5EL-12655-10091
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 920 / CA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
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2021-02-05
Dose 1 — Moderna
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2021-02-05
Survey response — day 0, dose 1MedDRA: Abdominal pain, Faeces soft — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Softer than normal bowl movements with slight bellyacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-11
- 2021-02-13
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2021-02-19
Survey response — day 14, dose 1MedDRA: Dyspnoea — Feeling: GoodFree text: Ive had more shortness of breath. Started about 5 days ago. Ive had to use my inhaler 2 - 5 times per day. Previous use has been 1 - 0 times per day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — day 21, dose 1MedDRA: Dyspnoea — Feeling: FairFree text: Hard time breathing, need to use my inhaler 3-5 times a day, where as before inhaler use was once per day and sometimes not at all for several days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 28, dose 1MedDRA: Fatigue, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion, need to use my inhaler more than 5times per day. I notice Im more tired too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Dose 2 — Moderna
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2021-03-14
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Headache — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Headache only if I cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-30
- 2021-04-06
- 2021-04-11
- 2021-04-18
- 2021-04-25
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2021-06-13
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Harder time with breathing, I have COPD, seem to be tired more,too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-14
Survey response — 6 months, dose 2MedDRA: Erythema, Rash — Feeling: GoodFree text: Unusual rash on my feet, no itching or swelling,just red spots.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-14 | Moderna |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Softer than normal bowl movements with slight bellyache
Release 4 — day 14, dose 1
Symptoms: Ive had more shortness of breath. Started about 5 days ago. Ive had to use my inhaler 2 - 5 times per day. Previous use has been 1 - 0 times per day.
Release 4 — day 21, dose 1
Symptoms: Hard time breathing, need to use my inhaler 3-5 times a day, where as before inhaler use was once per day and sometimes not at all for several days.
Release 5 — day 28, dose 1
Symptoms: Congestion, need to use my inhaler more than 5times per day. I notice Im more tired too.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Headache only if I cough.
Release 9 — 3 months, dose 2
Symptoms: Harder time with breathing, I have COPD, seem to be tired more,too.
Release 9 — 6 months, dose 2
Symptoms: Unusual rash on my feet, no itching or swelling,just red spots.
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Faeces soft | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release