5FE-31110-64910
4 vaccinations
4 coded responses
54 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 980 / WA
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-27
Registered in v-safe
-
2020-12-27
Dose 1 — Moderna
- 2020-12-27
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Headache — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Really mild dizziness accompanying the headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-10
- 2021-01-17
-
2021-01-23
Dose 2 — Moderna
- 2021-01-23
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-07
- 2021-04-24
-
2021-07-24
Survey response — 6 months, dose 2MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: FairFree text: Stuffy nose, sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal discomfort, Sensory disturbance — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Extremely acidic stomach and feeling as though I could feel my blood running through my veins and my milk running through my ductsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
-
2021-11-05
Survey response — day 7, dose 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Congested headMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-05
- 2021-12-10
- 2022-01-28
- 2022-04-29
-
2022-09-15
Dose 4 — Pfizer-BioNTech
-
2022-09-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-09-17
- 2022-09-18
-
2022-09-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness, Abdominal painAdult check-in
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-12-17
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-23 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-09-15 | Pfizer-BioNTech | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Really mild dizziness accompanying the headache
Release 9 — 6 months, dose 2
Symptoms: Stuffy nose, sore throat
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Extremely acidic stomach and feeling as though I could feel my blood running through my veins and my milk running through my ducts
Release 10 — day 7, dose 3
Systemic reaction (other): Congested head
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 | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Sensory disturbance | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release