5AY-21871-89172

5 vaccinations 9 coded responses 35 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 752 / TX
Registered: 2021-01-21

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-19
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-02
Survey response — day 14, dose 1
MedDRA: Back pain, Fatigue — Feeling: Fair

Free text: Lower back pain and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-22
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Slight dehydration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Survey response — day 21, dose 2
MedDRA: Fatigue, Middle insomnia, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: My thigh legs get really tired quicker and I have to take aspirins or Tylenol. It keeps me up at night until the painkiller takes place then I fall asleep hello

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Emergency care, Malaise, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: My thyroid maintenance medication Started to make me sick and I ended up in ER and they had to stop thyroid medication. Im not on I have not gotten back on it yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Moderna
2022-02-03
Call 1 — Could Not Reach Participant
2022-02-08
Call 2 — Could Not Reach Participant
2022-02-22
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-03
Dose 4 — Moderna
2022-09-23
Dose 5 — Moderna
Co-administered: Shingles
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-09-30
Survey response — day 7, dose 5
MedDRA: Back pain — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: Back pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-14
Survey response — day 21, dose 5
MedDRA: Rash — Feeling: Fair

Free text: When I receive my Covid shot I also got my shingles second vaccination. So I have a rash on the arm that I received both vaccinations and it just doesn't seem to go away to lotta little bumps that looks like shingles reaction so yes I'm not happy

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — day 35, dose 5
MedDRA: Chills, Dizziness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness and chills

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-24
Survey response — 6 months, dose 5
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-24
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-27
Call 3 — Left Voicemail
2023-03-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-22	Moderna
3	2021-10-30	Moderna	No
4	2022-04-03	Moderna	No
5	2022-09-23	Moderna	Shingles

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Lower back pain and fatigue

Release 4 — day 0, dose 2

2021-02-22

Systemic reaction (other): dizzy

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Slight dehydration

Release 5 — day 21, dose 2

2021-03-15

Symptoms: My thigh legs get really tired quicker and I have to take aspirins or Tylenol. It keeps me up at night until the painkiller takes place then I fall asleep hello

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: My thyroid maintenance medication Started to make me sick and I ended up in ER and they had to stop thyroid medication. Im not on I have not gotten back on it yet

Release 12 — day 7, dose 5

2022-09-30

Systemic reaction (other): Back pain

Release 12 — day 21, dose 5

2022-10-14

Symptoms: When I receive my Covid shot I also got my shingles second vaccination. So I have a rash on the arm that I received both vaccinations and it just doesn't seem to go away to lotta little bumps that looks like shingles reaction so yes I'm not happy

Release 12 — day 35, dose 5

2022-10-28

Symptoms: Dizziness and chills

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	Back pain	✓	✓	✓
SD	Chills	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Middle insomnia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Dehydration	✓	✓	✓
SRO	Dizziness	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release