54P-28545-57330
5 vaccinations
5 coded responses
54 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 720 / AR
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
-
2021-02-24
Health check-in — day 0, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sleeplessness last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Poor quality sleep — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I slept poorly the first 2 nights, solid sleep last night. Feel completely exhausted today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
-
2021-11-08
Survey response — day 14, dose 3MedDRA: Brain fog — Feeling: GoodFree text: Had a 2 days of "brain fog", for lack of a better description.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-11
Dose 4 — Moderna
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-17
- 2022-05-23
-
2022-07-11
Survey response — 3 months, dose 4MedDRA: Blood test abnormal, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had recent blood tests that are showing signs of an autoimmune condition suggesting lupus. Further tests are being scheduled. · Healthcare visit (other): Primary doctors officeMedDRA releases: 2024-11 · check-in free text available
-
2022-07-11
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-12
-
2022-07-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-26
Dose 5 — ModernaCo-administered: Flu
- 2022-10-02
- 2022-10-03
- 2022-10-10
-
2022-10-17
Survey response — day 21, dose 5MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Awaiting lab results on possible Lupus diagnosis. Results due by mid November.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-18
- 2022-10-18
-
2022-10-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-09-26 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sleeplessness last night.
Systemic reaction (other): I slept poorly the first 2 nights, solid sleep last night. Feel completely exhausted today.
Release 10 — day 14, dose 3
Symptoms: Had a 2 days of "brain fog", for lack of a better description.
Release 12 — 3 months, dose 4
Symptoms: I had recent blood tests that are showing signs of an autoimmune condition suggesting lupus. Further tests are being scheduled.
Healthcare visit (other): Primary doctors office
Release 12 — day 21, dose 5
Symptoms: Awaiting lab results on possible Lupus diagnosis. Results due by mid November.
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 | · | · | ✓ |
| SD | Blood test abnormal | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release