5MA-30055-89602
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 601 / IL
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Most of the symptoms were from yesterday but only signed up on site today. Yesterday temp 101 farenheightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: RednessFree text: Some bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-13
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-10
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2021-05-01
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Arthralgia, Loss of personal independence in daily activities — Feeling: FairFree text: Bilateral knee pain , Affects daily activities some. Some more GI distressMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-27
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Legs ache on and off daily. Still dont have all taste and smell back from having Covid nov 2020MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-01-26
Survey response — 12 months, dose 2MedDRA: COVID-19, Taste disorder — Feeling: GoodFree text: Second bout of Covid. Taste worse again. Never fully recovered from first time and now a setback a bitMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Most of the symptoms were from yesterday but only signed up on site today. Yesterday temp 101 farenheight
Systemic reaction (other): Some bruising at injection site
Systemic reaction (other): Bruising at injection site
Release 8 — 3 months, dose 2
Symptoms: Bilateral knee pain , Affects daily activities some. Some more GI distress
Release 9 — 6 months, dose 2
Symptoms: Legs ache on and off daily. Still dont have all taste and smell back from having Covid nov 2020
Release 11 — 12 months, dose 2
Symptoms: Second bout of Covid. Taste worse again. Never fully recovered from first time and now a setback a bit
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Ageusia | ✓ | · | ✓ |
| SD | Anosmia | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release