5EY-13891-27080
5 vaccinations
4 coded responses
41 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 903 / CA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
- 2021-02-04
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: In retrospect, I think I was fatigued the day after the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
-
2021-02-18
Survey response — day 14, dose 1MedDRA: Injection site pain, Pruritus — Feeling: GoodFree text: Last week my arm itched the same place it was initially sore--near but not exactly at the injection site. That lasted about 4 days. I used OTC cortisone to reduce the itch and minimize scratching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-16
- 2021-06-03
- 2021-09-02
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
- 2021-10-30
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-29
-
2022-04-26
Dose 4 — Moderna
- 2022-04-28
- 2022-05-15
- 2022-05-17
- 2022-05-24
- 2022-06-02
- 2022-06-07
- 2022-07-26
-
2022-10-25
Survey response — 6 months, dose 4MedDRA: Cough, Patient isolation, SARS-CoV-2 test negative, Somnolence — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cough obe evening and sleepiness that lasted about two days. Home Covid test kits negative twice (on days two and five). Stayed isolated for 9 days, then N95s in public as usual.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-09
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2023-06-09
Survey response — 6 months, dose 5MedDRA: Exposure to SARS-CoV-2, Hypersomnia, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
| 5 | 2022-12-09 | Pfizer-BioNTech | Flu |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): In retrospect, I think I was fatigued the day after the shot.
Release 4 — day 14, dose 1
Symptoms: Last week my arm itched the same place it was initially sore--near but not exactly at the injection site. That lasted about 4 days. I used OTC cortisone to reduce the itch and minimize scratching.
Release 12 — 6 months, dose 4
Symptoms: Cough obe evening and sleepiness that lasted about two days. Home Covid test kits negative twice (on days two and five). Stayed isolated for 9 days, then N95s in public as usual.
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 | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release