2K5-17025-85122
4 vaccinations
4 coded responses
23 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Moderna
-
2021-03-18
Registered in v-safe
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Flushing, Headache, Immediate post-injection reaction, Injection site pain, Somnolence — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: After injection I had an immediate, mild headache. I was flushed. My injection site was very sore several hours after injection but almost completely gone by the 2nd day. My only consistent symtom for day 1 and 2 is fatigue and sleepiness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-25
Survey response — day 7, dose 1MedDRA: Fatigue, Insomnia, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I didn't expect to feel so tired. I can literally sleep all day and night. I have had insomnia for years so it's nice to sleep, but i would like to know how long this fatigue and sleeplessness will last.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-23
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-27
- 2021-07-15
- 2021-10-13
-
2021-10-28
Dose 3 — Moderna
-
2022-04-05
Dose 4 — Moderna
- 2022-04-14
- 2022-04-19
- 2022-04-26
-
2022-05-03
Survey response — day 28, dose 4MedDRA: Aortic disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My doctor is sending me to see a vascular surgeon regarding my aorta. I need surgery. · Healthcare visit (other): Doctor's officeMedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-04
- 2022-05-10
- 2022-05-17
- 2022-07-07
- 2022-10-07
-
2023-04-05
Survey response — 12 months, dose 4MedDRA: Fatigue, Headache, Hypertension, Myalgia, Office visit, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-05
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-06
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): After injection I had an immediate, mild headache. I was flushed. My injection site was very sore several hours after injection but almost completely gone by the 2nd day. My only consistent symtom for day 1 and 2 is fatigue and sleepiness.
Release 6 — day 7, dose 1
Systemic reaction (other): I didn't expect to feel so tired. I can literally sleep all day and night. I have had insomnia for years so it's nice to sleep, but i would like to know how long this fatigue and sleeplessness will last.
Release 11 — day 28, dose 4
Symptoms: My doctor is sending me to see a vascular surgeon regarding my aorta. I need surgery.
Healthcare visit (other): Doctor's office
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 | · | · | ✓ |
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Aortic disorder | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release