5ZH-27925-74198
2 vaccinations
8 coded responses
25 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 740 / OK
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-16
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Oral mucosal eruption, Rash — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Ive been on steroids for two days because of the rash- oral and topical and Vistaril. That is why the rash is gone. · Healthcare visit (other): In person, at my dr office on Friday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still on steroids- oral and topical to treat rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Last day of steroidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-27
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2021-02-03
Survey response — day 21, dose 1MedDRA: Rash — Feeling: FairFree text: Rash came back across my chest and on my neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-02
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
- 2021-03-05
- 2021-03-12
- 2021-03-16
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2021-03-19
Survey response — day 21, dose 2MedDRA: Diarrhoea, Nausea — Feeling: FairFree text: Diarrhea, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
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2021-04-09
Survey response — day 42, dose 2MedDRA: Diarrhoea, Pyrexia — Feeling: FairFree text: Low grade temp one day, diarrhea once a day for the last 4 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Pain — Feeling: GoodFree text: Weird achy feelings today all over in various parts of my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-27
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2022-02-26
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid twiceMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Ive been on steroids for two days because of the rash- oral and topical and Vistaril. That is why the rash is gone.
Healthcare visit (other): In person, at my dr office on Friday.
Systemic reaction (other): Still on steroids- oral and topical to treat rash.
Systemic reaction (other): Last day of steroids
Release 3 — day 21, dose 1
Symptoms: Rash came back across my chest and on my neck
Release 6 — day 21, dose 2
Symptoms: Diarrhea, nausea
Release 7 — day 42, dose 2
Symptoms: Low grade temp one day, diarrhea once a day for the last 4 days
Release 8 — 3 months, dose 2
Symptoms: Weird achy feelings today all over in various parts of my body
Release 11 — 12 months, dose 2
Symptoms: Covid twice
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 | Office visit | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Oral mucosal eruption | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release