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5HC-13724-40766

5 vaccinations 9 coded responses 54 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
980 / WA
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-23
    Registered in v-safe
  2. 2021-01-23
    Dose 1 — Moderna
  3. 2021-01-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-06
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Rash — Feeling: Good
    Free text: I had reddening at injection site which I overlooked because I have a rash unrelated to vaccine. I thought it was just a spot of rash and didnt report it. It increased in size several days but is now dissipating.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-20
    Dose 2 — Moderna
  14. 2021-02-20
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eczema — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I think my exzema has flared up slightly.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eczema, Pre-existing disease — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Exzema is a bit more active than usual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  19. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  20. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-22
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: I am having pain in my lower back, but its probably not related to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-08-21
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: I have a cold. I caught it from my husband who had traveled to MO. However, he was since tested for Covid and the results were negative.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-11-03
    Dose 3 — Moderna
  30. 2022-02-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-04-26
    Dose 4 — Moderna
  32. 2022-04-26
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  33. 2022-04-27
    Survey response — days 1–6 daily, dose 4
    MedDRA: Abnormal dreams — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: I had "feverish dreams" last night but no fever when I checked this morning.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-04-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Mild sore throat
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-04-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-04-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-05-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-05-03
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  40. 2022-05-10
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-17
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-24
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-31
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-06-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-07-26
    Survey response — 3 months, dose 4
    MedDRA: Body temperature increased, Laboratory test abnormal, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Congestion, fever of 100 for one day, positive home Covid test · Healthcare visit (other): Kaiser Permanente website; I reported a positive home test and was prescribed an anti-viral
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-07-26
    Report sent to call center — 3 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  47. 2022-07-27
  48. 2022-07-27
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  49. 2022-10-14
    Dose 5 — Moderna
  50. 2022-10-15
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  51. 2022-10-16
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  52. 2022-10-17
    Survey response — days 1–6 daily, dose 5
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: I actually felt some fatigue yesterday afternoon, but it was after my check in so wasn't reported.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-10-18
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  54. 2022-10-19
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  55. 2022-10-20
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  56. 2022-10-21
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  57. 2022-10-28
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  58. 2022-11-04
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  59. 2022-11-11
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  60. 2022-11-18
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  61. 2022-11-25
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  62. 2023-01-13
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  63. 2023-04-14
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-02-20Moderna
32021-11-03Moderna No
42022-04-26Moderna No
52022-10-14Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-06

Symptoms: I had reddening at injection site which I overlooked because I have a rash unrelated to vaccine. I thought it was just a spot of rash and didnt report it. It increased in size several days but is now dissipating.

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): I think my exzema has flared up slightly.

2021-02-23

Systemic reaction (other): Exzema is a bit more active than usual

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: I am having pain in my lower back, but its probably not related to the vaccine.

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: I have a cold. I caught it from my husband who had traveled to MO. However, he was since tested for Covid and the results were negative.

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): I had "feverish dreams" last night but no fever when I checked this morning.

2022-04-28

Systemic reaction (other): Mild sore throat

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Congestion, fever of 100 for one day, positive home Covid test
Healthcare visit (other): Kaiser Permanente website; I reported a positive home test and was prescribed an anti-viral

Release 12 — days 1–6 daily, dose 5

2022-10-17

Systemic reaction (other): I actually felt some fatigue yesterday afternoon, but it was after my check in so wasn't reported.

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
HCVOLaboratory test abnormal · · ✓
SDBack pain ✓ ✓ ✓
SDBody temperature increased · · ✓
SDInjection site erythema ✓ ✓ ✓
SDNasopharyngitis ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test positive · · ✓
SROAbnormal dreams · · ✓
SROEczema ✓ ✓ ✓
SROFatigue · · ✓
SROOropharyngeal pain · · ✓
SROPre-existing disease ✓ ✓ ✓

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