5AF-14123-58669
2 vaccinations
8 coded responses
25 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 563 / MN
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Lymphadenopathy, Musculoskeletal stiffness — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Muscular Stiffness around in injection sight. Slight swelling in lymph nodes in armpit on side of the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Symptoms are the same as yesterday, but even more mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Mild tenderness remains in the armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-03
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Insomnia — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Feeling heavy , insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: GoodFree text: Bloody nose, just a dropMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
-
2021-02-23
Survey response — day 14, dose 2MedDRA: Paranasal sinus discomfort — Feeling: GoodFree text: Continued sinus irritationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-09
-
2021-03-16
Survey response — day 35, dose 2MedDRA: Epistaxis — Feeling: GoodFree text: I have continued to have small amounts of blood from my nose since the second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — day 42, dose 2MedDRA: Epistaxis, Nasal congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Increased nasal congestion tinged with bloodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-12
- 2021-08-12
-
2022-01-03
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Muscular Stiffness around in injection sight. Slight swelling in lymph nodes in armpit on side of the injection.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Symptoms are the same as yesterday, but even more mild
Systemic reaction (other): Mild tenderness remains in the armpit
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling heavy , insomnia
Systemic reaction (other): Bloody nose, just a drop
Release 4 — day 14, dose 2
Symptoms: Continued sinus irritation
Release 5 — day 35, dose 2
Symptoms: I have continued to have small amounts of blood from my nose since the second vaccine.
Release 6 — day 42, dose 2
Symptoms: Increased nasal congestion tinged with blood
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 | Epistaxis | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release