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HQ5-17892-94168

1 vaccination 4 coded responses 9 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
434 / OH
Registered
2021-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Dose 1 — Moderna
  2. 2021-01-07
    Registered in v-safe
  3. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anosmia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Loss of smell, rhinorrhea- diagnosed with COVID 1/6/2021
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-07
  5. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ageusia, Anosmia, COVID-19 — Feeling: Good · Be unable to work
    Free text: Loss of taste/smell- COVID+
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-08
  7. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-19
    Survey response — day 14, dose 1
    MedDRA: Headache, Insomnia, Urticaria — Feeling: Fair
    Free text: Headache, insomnia, urticaria
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-07-06
    Survey response — 6 months, dose 1
    MedDRA: Mechanical urticaria, Pregnancy — Feeling: Good
    Free text: Dermatographia, pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2022-01-07
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna

Call center

2 call center cases

2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Loss of smell, rhinorrhea- diagnosed with COVID 1/6/2021

2021-01-08

Systemic reaction (other): Loss of taste/smell- COVID+

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Headache, insomnia, urticaria

Release 9 — 6 months, dose 1

2021-07-06

Symptoms: Dermatographia, pregnancy

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
SDHeadache ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDMechanical urticaria ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SROAgeusia ✓ ✓ ✓
SROAnosmia ✓ ✓ ✓
SROCOVID-19 ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSARS-CoV-2 test positive ✓ ✓ ✓

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