5SJ-23163-21743
5 vaccinations
7 coded responses
39 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 967 / HI
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Chills, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Therapeutic response unexpected — Feeling: Good · Site: ItchingFree text: Seem to actually be sleeping better and stiff hips when first leaving bed aren't stiff anymore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: All reports of itching are for short-lived, just 10 seconds of itch. Never for any of my itching reports is it for more than a minute . That's for this report and the last couple days itching reports as well . I just hadn't quite figured out how to do this part to tell you so e of itchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Mild brief diarrhea. Very likely from some lunch leftovers. Nothing to do with the vaccine, I reckon ...but you asked.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-06-16
-
2021-09-15
Survey response — 6 months, dose 2MedDRA: Office visit, Tooth disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Bad tooyh · Healthcare visit (other): DentistMedDRA releases: 2024-11 · check-in free text available
-
2021-09-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-17
-
2021-11-08
Dose 3 — Pfizer-BioNTech
- 2022-03-17
-
2022-06-27
Dose 4 — Moderna
-
2022-09-28
Dose 5 — Moderna
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-05
-
2022-10-12
Survey response — day 14, dose 5MedDRA: Hypotension — Feeling: GoodFree text: Nothing to do with the vaccine. Change in blood pressure meds. Blood pressure got too low. Changed back, all good.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-27
- 2022-11-04
- 2022-11-09
-
2022-12-28
Survey response — 3 months, dose 5MedDRA: Blood pressure increased — Feeling: GoodFree text: Blood pressure is higherMedDRA releases: 2024-11 · check-in free text available
-
2023-03-31
Survey response — 6 months, dose 5MedDRA: Muscle strain — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-11-08 | Pfizer-BioNTech | No |
| 4 | 2022-06-27 | Moderna | No |
| 5 | 2022-09-28 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Seem to actually be sleeping better and stiff hips when first leaving bed aren't stiff anymore.
Systemic reaction (other): All reports of itching are for short-lived, just 10 seconds of itch. Never for any of my itching reports is it for more than a minute . That's for this report and the last couple days itching reports as well . I just hadn't quite figured out how to do this part to tell you so e of itch
Release 7 — day 35, dose 2
Symptoms: Mild brief diarrhea. Very likely from some lunch leftovers. Nothing to do with the vaccine, I reckon ...but you asked.
Release 9 — 6 months, dose 2
Release 12 — day 14, dose 5
Symptoms: Nothing to do with the vaccine. Change in blood pressure meds. Blood pressure got too low. Changed back, all good.
Release 12 — 3 months, dose 5
Symptoms: Blood pressure is higher
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Tooth disorder | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release