5QV-26574-55566
3 vaccinations
6 coded responses
28 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 907 / CA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Dry eye, Eye pruritus, Sinus congestion — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Eyes very dry/scratchy yesterday but much better today. A lot of unexpected sinus congestion since 2nd shot yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Dry eye, Respiratory tract congestion, Sneezing, Swelling — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Dry eyes again, but artificial tears helps; have had congestion and a little sneezing from about 5 hours after the second dose and still have it... swelling of mucus membrane especially at night - this doesn't happen to me ususllyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Congestion is mostly goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-08-24
-
2021-10-25
Dose 3 — Moderna
-
2021-10-25
Survey response — day 0, dose 3MedDRA: Dizziness, Nausea — Feeling: Good · Site: Pain · NauseaFree text: I get a little sick to my stomach 2 hours after my Maderna booster shot with a little touch of dizziness, but it wet away in a few minutes.MedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Nausea — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: A little nauseous for a minute when I was late having breakfast, but it went away as soon as I ate and didn't come backMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Nausea — Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaFree text: A little nausea, very mild, and disappears when I eat.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Eyes very dry/scratchy yesterday but much better today. A lot of unexpected sinus congestion since 2nd shot yesterday.
Systemic reaction (other): Dry eyes again, but artificial tears helps; have had congestion and a little sneezing from about 5 hours after the second dose and still have it... swelling of mucus membrane especially at night - this doesn't happen to me ususlly
Systemic reaction (other): Congestion is mostly gone
Release 10 — day 0, dose 3
Systemic reaction (other): I get a little sick to my stomach 2 hours after my Maderna booster shot with a little touch of dizziness, but it wet away in a few minutes.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): A little nauseous for a minute when I was late having breakfast, but it went away as soon as I ate and didn't come back
Systemic reaction (other): A little nausea, very mild, and disappears when I eat.
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 |
|---|---|---|---|---|
| SRO | Dizziness | · | · | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release