5Y4-71652-99662
2 vaccinations
8 coded responses
22 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 900 / CA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold, Headache, Hyperhidrosis, Injection site pain — Feeling: Good · Fever · Chills, Fatigue or tirednessFree text: Felt sweaty then chilled. Mild low grade headache. Little s it of soreness around injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Peripheral coldness — Feeling: Good · Fever · ChillsFree text: Feel sweaty but my feet are chilled. Not certain that Im febrileMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Insomnia — Feeling: Good · Fever · Fatigue or tirednessFree text: Fatigue might be associated with sleeping late and waking earlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
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2021-02-26
Dose 2 — Moderna
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Slept 14 hours on SaturdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-03
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Rhinitis, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness · Be unable to workFree text: Really active rhinitis - runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 7, dose 2MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Sneezing. Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-09
Survey response — day 42, dose 2MedDRA: Injection site pain — Feeling: FairFree text: Pain in left arm shot siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Chills, Diarrhoea, Hyperhidrosis, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Diarrhea. Sweats. Chills. Got a covid test and fortunately it was negative. So sad I had to wait so long to get tested. · Healthcare visit (other): Covid testMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Felt sweaty then chilled. Mild low grade headache. Little s it of soreness around injection site.
Systemic reaction (other): Feel sweaty but my feet are chilled. Not certain that Im febrile
Systemic reaction (other): Fatigue might be associated with sleeping late and waking early
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Slept 14 hours on Saturday
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Really active rhinitis - runny nose
Release 5 — day 7, dose 2
Systemic reaction (other): Sneezing. Runny nose
Release 7 — day 42, dose 2
Symptoms: Pain in left arm shot site
Release 9 — 6 months, dose 2
Symptoms: Diarrhea. Sweats. Chills. Got a covid test and fortunately it was negative. So sad I had to wait so long to get tested.
Healthcare visit (other): Covid test
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 | SARS-CoV-2 test | ✓ | · | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Hyperhidrosis | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Rhinitis | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ○ | ○ | ○ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release