5XC-77990-25166
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Moderna
-
2021-04-23
Survey response — day 0, dose 1MedDRA: Hypersomnia — Feeling: Good · Site: PainFree text: Sense of smell heightenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Parosmia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Heightened smellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
- 2021-04-27
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2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Ear acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in next and left axillaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
-
2021-05-07
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Rash — Feeling: GoodFree text: Redness and itching at injection site a week after receiving shot. Also rashy area on anatomical snuff box on same arm as vaccination. Symptoms lasted for 4-7 days after appearance. Cortisone cream applied to relieve itchiness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
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2021-05-21
Dose 2 — Moderna
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2021-05-21
Survey response — day 0, dose 2MedDRA: Pyrexia, SARS-CoV-2 test negative — Feeling: GoodFree text: Had a fever that coincided with my period from 5/14-5/18. No other symptoms at that time. On 5/19 i received a covid test and results were negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-08-20
- 2021-11-19
- 2022-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Sense of smell heightened
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Heightened smell
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Ear ache
Systemic reaction (other): Swollen lymph nodes in next and left axilla
Release 8 — day 14, dose 1
Symptoms: Redness and itching at injection site a week after receiving shot. Also rashy area on anatomical snuff box on same arm as vaccination. Symptoms lasted for 4-7 days after appearance. Cortisone cream applied to relieve itchiness.
Release 8 — day 0, dose 2
Systemic reaction (other): Had a fever that coincided with my period from 5/14-5/18. No other symptoms at that time. On 5/19 i received a covid test and results were negative.
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release