5AH-25616-02458
6 vaccinations
4 coded responses
37 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 614 / IL
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
-
2021-03-11
Survey response — day 0, dose 2MedDRA: Feeling hot — Feeling: Good · Site: Pain · Fever · ChillsFree text: I dont have high temp just feel as if I do. More sense of body heat than is usuallyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Survey response — day 42, dose 2MedDRA: Asthenia, Dizziness, Dyspnoea — Feeling: FairFree text: On awakening 4:00 am to go restroom had full body feeling of great weakness A feeling never experienced before. Took minute or so before could walk with normal confidence. Some shills accompanied and shortness breath. Subsided graduallyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-09-10
-
2021-11-12
Dose 3 — Moderna
-
2022-03-13
Survey response — 12 months, dose 2MedDRA: Feeling hot, Hepatitis C — Feeling: GoodFree text: 2 things not sure related. 1. few times / week I feel sense of heat like I may have fever but when take temperature no fever. 2. Diagnosed with Hepatitis C.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Dose 4 — Moderna
- 2022-05-06
- 2022-05-16
- 2022-05-25
- 2022-07-25
-
2022-10-28
Survey response — 6 months, dose 4MedDRA: Hepatitis C — Feeling: GoodFree text: Hepatitis CMedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Dose 5 — ModernaCo-administered: Flu
- 2023-04-27
-
2023-04-30
Dose 6 — Moderna
- 2023-04-30
- 2023-05-06
- 2023-05-10
- 2023-05-14
- 2023-05-21
- 2023-05-28
- 2023-06-04
- 2023-06-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-10-31 | Moderna | Flu |
| 6 | 2023-04-30 | Moderna | No |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): I dont have high temp just feel as if I do. More sense of body heat than is usually
Release 7 — day 42, dose 2
Symptoms: On awakening 4:00 am to go restroom had full body feeling of great weakness A feeling never experienced before. Took minute or so before could walk with normal confidence. Some shills accompanied and shortness breath. Subsided gradually
Release 11 — 12 months, dose 2
Symptoms: 2 things not sure related. 1. few times / week I feel sense of heat like I may have fever but when take temperature no fever. 2. Diagnosed with Hepatitis C.
Release 12 — 6 months, dose 4
Symptoms: Hepatitis C
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Hepatitis C | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release