5SX-18764-29892
4 vaccinations
5 coded responses
37 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 804 / CO
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-24
Dose 1 — Moderna
-
2020-12-24
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2020-12-26
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-07
- 2021-01-16
-
2021-01-21
Dose 2 — Moderna
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Myalgia, Nausea — Feeling: GoodFree text: On days 2 and 3 I had severe chills, fatigue, nausea, body and headache. I was unable to function.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-02-04
Survey response — day 14, dose 2MedDRA: Medical observation, Ulcer — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Developed labial ulcer on 3rd day after vaccine. Have since seen primary physician who has ruled out HSV, chlamydia, syphilis, HIV, and gonnorhea. Did not initially report is it did not seem related but it seems we have ruled out other options. · Healthcare visit (other): PCP office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Survey response — day 42, dose 2MedDRA: Joint swelling, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Joint swelling · Healthcare visit (other): PCP visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-22
Survey response — 3 months, dose 2MedDRA: Erythema, Joint swelling, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Joint swelling/redness, rash from standing near heat (toasted skin syndrome) · Healthcare visit (other): In person with both pcp and rheumatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-14
- 2021-07-24
-
2021-09-18
Dose 3 — Moderna
- 2021-10-23
- 2021-10-30
- 2021-11-12
- 2021-12-18
- 2022-03-19
-
2022-09-16
Dose 4 — Pfizer-BioNTech
- 2022-09-18
-
2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2022-09-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-09
- 2022-10-14
- 2022-10-23
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-09-18 | Moderna | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Loss of appetite
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): On days 2 and 3 I had severe chills, fatigue, nausea, body and headache. I was unable to function.
Release 3 — day 14, dose 2
Symptoms: Developed labial ulcer on 3rd day after vaccine. Have since seen primary physician who has ruled out HSV, chlamydia, syphilis, HIV, and gonnorhea. Did not initially report is it did not seem related but it seems we have ruled out other options.
Healthcare visit (other): PCP office visit
Release 5 — day 42, dose 2
Release 7 — 3 months, dose 2
Symptoms: Joint swelling/redness, rash from standing near heat (toasted skin syndrome)
Healthcare visit (other): In person with both pcp and rheumatologist
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 | Medical observation | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Ulcer | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release