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
-
2021-01-05
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Anosmia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Loss of smell, rhinorrhea- diagnosed with COVID 1/6/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Ageusia, Anosmia, COVID-19 — Feeling: Good · Be unable to workFree text: Loss of taste/smell- COVID+MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-10
- 2021-01-11
- 2021-01-12
-
2021-01-19
Survey response — day 14, dose 1MedDRA: Headache, Insomnia, Urticaria — Feeling: FairFree text: Headache, insomnia, urticariaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
-
2021-07-06
Survey response — 6 months, dose 1MedDRA: Mechanical urticaria, Pregnancy — Feeling: GoodFree text: Dermatographia, pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna |
Call center
2 call center cases
2 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Loss of smell, rhinorrhea- diagnosed with COVID 1/6/2021
Systemic reaction (other): Loss of taste/smell- COVID+
Release 2 — day 14, dose 1
Symptoms: Headache, insomnia, urticaria
Release 9 — 6 months, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Mechanical urticaria | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Anosmia | ✓ | ✓ | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release