5AJ-14188-19753
4 vaccinations
4 coded responses
45 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 466 / IN
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
MP8-27722-62490
Child or adolescent in my care · Male · 2022-01-31
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
- 2021-01-22
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-23
Dose 2 — Moderna
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Hypersomnia — Feeling: Good · Site: PainFree text: 18h after 2nd shot, I experienced a lot of fatigue--napped and slept about 10 hours Wed night, whereupon I felt well again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Hypersomnia, Lethargy, Menstrual disorder, Oral herpes — Feeling: Good · Site: Pain · HeadacheFree text: 17-18h after shot 6p Tues 23rd, I experienced lethargy/exhaustion, a mild headache (which I failed to report), and then chills. I rested, slept 10+ hours Wed night, and felt much better. I also got a small cold sore and my period came very early-- half-way thru cycle. no headache todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-27
- 2021-08-24
-
2021-11-01
Dose 3 — Pfizer-BioNTech
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
-
2022-04-14
Dose 4 — Moderna
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity — Feeling: GoodFree text: My arm hurt like hell for two days or so after the shotMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-28
-
2022-05-05
Survey response — day 21, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: sore throat, cough, stuffiness, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-06
-
2022-05-11
Call successfulCompleted over the phone
- 2022-05-12
- 2022-05-21
- 2022-05-26
- 2022-07-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): 18h after 2nd shot, I experienced a lot of fatigue--napped and slept about 10 hours Wed night, whereupon I felt well again.
Systemic reaction (other): 17-18h after shot 6p Tues 23rd, I experienced lethargy/exhaustion, a mild headache (which I failed to report), and then chills. I rested, slept 10+ hours Wed night, and felt much better. I also got a small cold sore and my period came very early-- half-way thru cycle. no headache today
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): My arm hurt like hell for two days or so after the shot
Release 11 — day 21, dose 4
Symptoms: sore throat, cough, stuffiness, fatigue
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release