5VE-25969-26124
5 vaccinations
12 coded responses
51 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 983 / WA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Moderna
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-04
- 2021-02-05
- 2021-02-06
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2021-02-13
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site urticaria, Injection site warmth — Feeling: GoodFree text: 2/7/21, I had a red, warm welt over the injection site and had some intense itching. 2/13/21, some itching although not intense or as much. Redness, rash almost gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · HeadacheFree text: Noticed today around 2:40pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-10-30
Dose 3 — Moderna
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Malaise — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: General malaise feelingMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-13
-
2021-11-20
Survey response — day 21, dose 3MedDRA: Nasal congestion — Feeling: GoodFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-12-05
- 2021-12-11
- 2022-01-31
-
2022-04-29
Dose 4 — Moderna
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2022-04-30
Survey response — 6 months, dose 3MedDRA: Fatigue, Nausea — Feeling: FairFree text: Yesterday, I had my second booster. I felt nauseous during the night and fatigued today.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
- 2022-05-20
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2022-05-27
Survey response — day 28, dose 4MedDRA: Cardiac flutter — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I've been having fluttering heart beats in my neck sometimes consistently and other times intermittently. I'm not sure it's related to my booster or not. I haven't had Covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-27
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-31
-
2022-06-03
Survey response — day 35, dose 4MedDRA: Cardiac flutter — Feeling: FairFree text: Heart fluttersMedDRA releases: 2024-11 · check-in free text available
- 2022-06-11
- 2022-07-29
-
2022-09-30
Dose 5 — ModernaCo-administered: Flu
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2022-10-16
Survey response — day 14, dose 5MedDRA: Ageusia, Anosmia, Decreased appetite, Headache, Nasal congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stuffy nose, lost taste and smell, headache, no appetite,MedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — day 21, dose 5MedDRA: Ageusia, Anosmia, Fatigue, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: No taste or smell; still have some stuffiness with headache; fatiguedMedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Survey response — day 28, dose 5MedDRA: Dyspnoea, Dyspnoea exertional, Fatigue — Feeling: FairFree text: Fatigued; some shortness of breath during workouts; still have some congestionMedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Survey response — day 35, dose 5MedDRA: Headache — Feeling: FairFree text: Still having some headaches.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
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2022-12-30
Survey response — 3 months, dose 5MedDRA: Ageusia, Anosmia, Cough, Influenza virus test negative, Nasal congestion, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Acute Upper Respiratory Infection- negative Covid, negative flu, negative RSV. I lost taste and smell; severe cough and nasal congestion for 3 weeks.MedDRA releases: 2024-11 · check-in free text available
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2022-12-30
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-01-03
Call successfulNot applicable - Accidental Reporting
-
2023-01-03
Call successfulNot applicable - Accidental Reporting
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
| 5 | 2022-09-30 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 14, dose 1
Symptoms: 2/7/21, I had a red, warm welt over the injection site and had some intense itching. 2/13/21, some itching although not intense or as much. Redness, rash almost gone.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Noticed today around 2:40pm
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): General malaise feeling
Release 10 — day 21, dose 3
Symptoms: Stuffy nose
Release 11 — 6 months, dose 3
Symptoms: Yesterday, I had my second booster. I felt nauseous during the night and fatigued today.
Release 11 — day 28, dose 4
Symptoms: I've been having fluttering heart beats in my neck sometimes consistently and other times intermittently. I'm not sure it's related to my booster or not. I haven't had Covid.
Release 11 — day 35, dose 4
Symptoms: Heart flutters
Release 12 — day 14, dose 5
Symptoms: Stuffy nose, lost taste and smell, headache, no appetite,
Release 12 — day 21, dose 5
Symptoms: No taste or smell; still have some stuffiness with headache; fatigued
Release 12 — day 28, dose 5
Symptoms: Fatigued; some shortness of breath during workouts; still have some congestion
Release 12 — day 35, dose 5
Symptoms: Still having some headaches.
Release 12 — 3 months, dose 5
Symptoms: Acute Upper Respiratory Infection- negative Covid, negative flu, negative RSV. I lost taste and smell; severe cough and nasal congestion for 3 weeks.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site urticaria | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release