5J5-25366-31332
5 vaccinations
6 coded responses
57 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 959 / 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
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: My normal temp is 97.8. Body aches were very bad. Chills were bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Heart rate irregular — Feeling: GoodFree text: Going back: first day, after 3 hrs felt and heard blood pressure in temples. After 4 hours had funny heartbeat, not arrhythmia but uncomfortable, a bit off. This all was gone after about 5 hours after it began. Again, this was the first day, a couple hours after getting vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: GoodFree text: Not really a rash, but redness on cheeks and noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
-
2021-03-18
Survey response — day 14, dose 2MedDRA: Arthralgia, Hypoaesthesia, Malaise, Pain, Pain in extremity — Feeling: GoodFree text: Over the last week I have had a few off days, kind of all over achy, and blah. Shoulders and arms kind of achy and a little numb. Dont know if it is related, but it isnt normal for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — day 21, dose 2MedDRA: Body temperature increased, Chills, Decreased appetite, Diarrhoea, Hyperhidrosis, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Three days temperature 100.6 highest, normal 97.8. Body aches, chills, sweats, no appetite, 1 day diarrhea. Had to stay in bed. Not at all normal for me. Have not been exposed to anyone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2021-10-30
Dose 3 — Moderna
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-07
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
-
2022-04-22
Dose 4 — Moderna
- 2022-04-30
- 2022-04-30
- 2022-05-06
- 2022-05-13
- 2022-05-21
- 2022-05-27
- 2022-06-03
- 2022-07-22
-
2022-10-04
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-06
- 2022-10-07
- 2022-10-08
-
2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Abdominal pain, Diarrhoea — Feeling: Good · DiarrheaFree text: Slight diarrhea and v slight belly ache x 2 days. Thought it might be Safeway fruit tart bought on sale. That was only "different" food. ????MedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-02
- 2022-11-09
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-10-04 | Pfizer-BioNTech | Flu |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My normal temp is 97.8. Body aches were very bad. Chills were bad.
Systemic reaction (other): Going back: first day, after 3 hrs felt and heard blood pressure in temples. After 4 hours had funny heartbeat, not arrhythmia but uncomfortable, a bit off. This all was gone after about 5 hours after it began. Again, this was the first day, a couple hours after getting vaccine.
Systemic reaction (other): Not really a rash, but redness on cheeks and nose
Release 5 — day 14, dose 2
Symptoms: Over the last week I have had a few off days, kind of all over achy, and blah. Shoulders and arms kind of achy and a little numb. Dont know if it is related, but it isnt normal for me.
Release 6 — day 21, dose 2
Symptoms: Three days temperature 100.6 highest, normal 97.8. Body aches, chills, sweats, no appetite, 1 day diarrhea. Had to stay in bed. Not at all normal for me. Have not been exposed to anyone.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Slight diarrhea and v slight belly ache x 2 days. Thought it might be Safeway fruit tart bought on sale. That was only "different" food. ????
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release