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5XW-20585-61302

4 vaccinations 7 coded responses 46 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
293 / SC
Registered
2021-02-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-22
    Registered in v-safe
  2. 2021-02-22
    Dose 1 — Moderna
  3. 2021-02-22
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2021-02-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sinus pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Possible unrelated sinus pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-01
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-03-08
    Survey response — day 14, dose 1
    MedDRA: Exposure to SARS-CoV-2, Rhinorrhoea, Throat irritation — Feeling: Fair
    Free text: Scratchy throat, runny nose (tree pollen high) Neighbor came by w food and test pos for covid 3 days later. I got tested today to be cautious
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-22
    Dose 2 — Moderna
  14. 2021-03-22
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Started last evening, present but lighter today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  17. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  18. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-28
    Dose 3 — Moderna
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease, Sinus pain — Feeling: Fair · Site: Pain · Headache
    Free text: Sore sinus areasuspect allergies, not covid or vaccine
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-28
    Survey response — 6 months, dose 3
    MedDRA: COVID-19, Cough, Fatigue, Nasopharyngitis — Feeling: Good
    Free text: I got covid in Feb while in Oregon, along with my son and DIL (hospitalists) and 3 yr old grandson. Coughing, cold symptoms, tired for about 7-10 days. 3 yr old fever for 2 days, little else
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-09-14
    Dose 4 — Moderna
    Co-administered: Flu
  45. 2022-09-29
    Survey response — day 14, dose 4
    MedDRA: COVID-19, Cough, Unevaluable event — Feeling: Good
    Free text: I had covid in Feb 22 and lasting sinus and dry cough which now seem to be improving. Could be worse seasonal allergies
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-10-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-10-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-10-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-12-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  51. 2023-03-15
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Moderna
22021-03-22Moderna
32021-10-28Moderna No
42022-09-14Moderna Flu

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Possible unrelated sinus pain

Release 5 — day 14, dose 1

2021-03-08

Symptoms: Scratchy throat, runny nose (tree pollen high) Neighbor came by w food and test pos for covid 3 days later. I got tested today to be cautious

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Started last evening, present but lighter today

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Sore sinus areasuspect allergies, not covid or vaccine

2021-11-03

Systemic reaction (other): No

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: I got covid in Feb while in Oregon, along with my son and DIL (hospitalists) and 3 yr old grandson. Coughing, cold symptoms, tired for about 7-10 days. 3 yr old fever for 2 days, little else

Release 12 — day 14, dose 4

2022-09-29

Symptoms: I had covid in Feb 22 and lasting sinus and dry cough which now seem to be improving. Could be worse seasonal allergies

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDCOVID-19 · · ✓
SDExposure to SARS-CoV-2 ✓ ✓ ✓
SDFatigue · · ✓
SDNasopharyngitis · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SDUnevaluable event · · ✓
SROAdverse reaction ✓ ✓ ✓
SRONo adverse event · · ✓
SROPre-existing disease · · ✓
SROSinus pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release