5EX-42662-23207
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
-
2021-01-15
Survey response — day 0, dose 1MedDRA: Adverse reaction — Feeling: Good · Headache, Fatigue or tirednessFree text: These symptoms lasted about an hour . I lay down for maybe 20 minutes and then felt fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Angina pectoris — Feeling: Good · Site: PainFree text: I had a short bout of Angina. I havent had angina for months so I was surprised... lasted about forty minutes, and quite mild. Took three aspirins and it went away. ( I have a stent due to an arterial dissection four years ago - SCADMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Survey response — day 7, dose 2MedDRA: Eye pain, Medical counselling — Feeling: Poor · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Unusual sudden eye pain · Healthcare visit (other): Phone callMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-07
- 2021-03-12
- 2021-03-20
- 2021-03-28
-
2021-04-02
Survey response — day 42, dose 2MedDRA: Fatigue — Feeling: FairFree text: Fatigue- but I have had two weeks of visitorsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-08-22
- 2021-09-08
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): These symptoms lasted about an hour . I lay down for maybe 20 minutes and then felt fine
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I had a short bout of Angina. I havent had angina for months so I was surprised... lasted about forty minutes, and quite mild. Took three aspirins and it went away. ( I have a stent due to an arterial dissection four years ago - SCAD
Release 4 — day 7, dose 2
Release 6 — day 42, dose 2
Symptoms: Fatigue- but I have had two weeks of visitors
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 | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Angina pectoris | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release