5Q7-28650-42142
2 vaccinations
7 coded responses
26 check-ins
7 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 41-45
- ZIP prefix
- 305 / GA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
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2021-01-22
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Itching · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Muscle or body achesFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort — Feeling: Good · Site: PainFree text: More of arm soreness than painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
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2021-02-05
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Urticaria — Feeling: FairFree text: Breaking out in hives, injection site is itchy, red and a little achyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
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2021-02-19
Dose 2 — Moderna
- 2021-02-19
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tiredness, NauseaAdult check-in
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: ItchingFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-05-21
Survey response — 3 months, dose 2MedDRA: Autoimmune thyroiditis, Condition aggravated, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hashimoto's flared up, had hives, worst of them being three days after second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-22
Survey response — 6 months, dose 2MedDRA: COVID-19, Immune system disorder, Office visit, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had hives for 11 weeks post vaccine. Saw allergist and rheumatology. Also, endocrinologist. Nothing conclusive. May have had COVID at some point, asymptomatic and then vaccine caused immune system to react.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-22
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Metallic taste in mouth
Systemic reaction (other): More of arm soreness than pain
Release 3 — day 14, dose 1
Symptoms: Breaking out in hives, injection site is itchy, red and a little achy
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Release 8 — 3 months, dose 2
Symptoms: Hashimoto's flared up, had hives, worst of them being three days after second dose.
Release 9 — 6 months, dose 2
Symptoms: Had hives for 11 weeks post vaccine. Saw allergist and rheumatology. Also, endocrinologist. Nothing conclusive. May have had COVID at some point, asymptomatic and then vaccine caused immune system to react.
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 | Autoimmune thyroiditis | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Immune system disorder | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release