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5GX-19028-18533

5 vaccinations 4 coded responses 58 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
454 / OH
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-23
    Survey response — day 21, dose 1
    MedDRA: Fatigue — Feeling: Good
    Free text: Physically and mentally tired. Has increased over the past couple of weeks. Have experienced similar when prescribed a new medication but not usually this long term with a vaccine. I'm definitely sleeping well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-30
    Dose 2 — Moderna
  14. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-13
    Survey response — day 42, dose 2
    MedDRA: Ageusia, Anosmia, Cough, Exposure to SARS-CoV-2, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good
    Free text: Exposed to someone who tested Covid positive 5 days later. 4 days post exposure I developed, cough, congestion, headache, fever. PCR was negative. 3 days later I experienced altered/decreased taste and smell. Again tested negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-07-01
    Survey response — 3 months, dose 2
    MedDRA: Ageusia, Anosmia, Body temperature increased, Cough, Exposure to SARS-CoV-2, Malaise, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good
    Free text: 2 hr exposure to 3 people 4/30/21. All tested + 5/5. I had sx onset 5/4. Tested neg 5/6 with mild cough/cong/100.5 temp. Lost taste/smell 5/7. All sx resolved < 10 days post onset. Do continue to have random taste/smell issues that dissipate quickly.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-26
    Dose 3 — Moderna
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-02
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-13
    Dose 4 — Moderna
  42. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-04-20
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-04-27
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-05-04
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-05-11
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-05-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-07-13
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-09-28
    Dose 5 — Moderna
  52. 2022-09-30
    Survey response — days 1–6 daily, dose 5
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Area of redness and itching is 4" x 4
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-10-01
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  54. 2022-10-02
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  55. 2022-10-03
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  56. 2022-10-04
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Redness · None
    Adult check-in
  57. 2022-10-05
    Health check-in — day 7, dose 5
    Feeling: Good · Site: Redness · None
    Adult check-in
  58. 2022-10-12
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  59. 2022-10-19
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  60. 2022-10-26
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  61. 2022-11-02
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  62. 2022-11-09
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  63. 2022-12-28
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  64. 2023-03-29
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna
32021-10-26Moderna No
42022-04-13Moderna No
52022-09-28Moderna No

Free text

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Physically and mentally tired. Has increased over the past couple of weeks. Have experienced similar when prescribed a new medication but not usually this long term with a vaccine. I'm definitely sleeping well.

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Exposed to someone who tested Covid positive 5 days later. 4 days post exposure I developed, cough, congestion, headache, fever. PCR was negative. 3 days later I experienced altered/decreased taste and smell. Again tested negative.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: 2 hr exposure to 3 people 4/30/21. All tested + 5/5. I had sx onset 5/4. Tested neg 5/6 with mild cough/cong/100.5 temp. Lost taste/smell 5/7. All sx resolved < 10 days post onset. Do continue to have random taste/smell issues that dissipate quickly. cut off by CDC

Release 12 — days 1–6 daily, dose 5

2022-09-30

Systemic reaction (other): Area of redness and itching is 4" x 4

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

FieldPreferred term2021-092023-042024-11
SDAgeusia ✓ ✓ ✓
SDAnosmia ✓ ✓ ✓
SDBody temperature increased ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDExposure to SARS-CoV-2 ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROInjection site erythema · · ✓
SROInjection site pruritus · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release