4S5-22477-17025
1 vaccination
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 492 / MI
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My shot arm from shoulder to elbow was hurt like crazy just moving my arm hurt touching it was unbelievably soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tirednessFree text: Difficulty breathing. Went back on to ocygenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — day 7, dose 1MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Fatigue or tirednessFree text: Understand that on my rescue farm I have to do chores no matter how I feel Dont really understand whats going on yesterday I felt good today I feel like I did day after vaccine. Tired difficulty breathing. Do really want to get the second shot?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-09
- 2021-05-18
- 2021-08-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): My shot arm from shoulder to elbow was hurt like crazy just moving my arm hurt touching it was unbelievably sore
Systemic reaction (other): Difficulty breathing. Went back on to ocygen
Release 4 — day 7, dose 1
Systemic reaction (other): Understand that on my rescue farm I have to do chores no matter how I feel Dont really understand whats going on yesterday I felt good today I feel like I did day after vaccine. Tired difficulty breathing. Do really want to get the second shot?
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 |
|---|---|---|---|---|
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release