3N5-18591-36440
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 897 / NV
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Chest pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-17
Survey response — day 14, dose 1MedDRA: Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sunday I had body aches/pains and was tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Pain, Sleep disorder — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: My balance was off when I got up this morning. The pain interfered with sleep. I slept several hours today. I feel better now, but still have some aches. My temperature was low, 97.1. My husband felt worse than me and also dad a headache and ringing in his ears. I usually have ringing in my ears but it was absent.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Pain at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
-
2021-04-06
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
-
2021-04-20
Survey response — day 21, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: Shortness of breatheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pressure
Release 5 — day 14, dose 1
Symptoms: Sunday I had body aches/pains and was tired.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My balance was off when I got up this morning. The pain interfered with sleep. I slept several hours today. I feel better now, but still have some aches. My temperature was low, 97.1. My husband felt worse than me and also dad a headache and ringing in his ears. I usually have ringing in my ears but it was absent.
Systemic reaction (other): Pain at injection site.
Release 7 — day 7, dose 2
Systemic reaction (other): No
Release 7 — day 21, dose 2
Symptoms: Shortness of breathe
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release