5AY-32107-35147
4 vaccinations
8 coded responses
46 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 531 / WI
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
-
2021-02-18
Survey response — day 0, dose 1MedDRA: Arthralgia, Fatigue — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Joint pain just in the knuckles of my right hand. I blamed the tiredness on a full meal after the immunization though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: I think its just old age.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: 60 degrees and sunny and I just want to nap.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia — Feeling: Good · Fatigue or tirednessFree text: I just couldnt get up this morning. Slept extra 3 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia — Feeling: Good · Fatigue or tirednessFree text: Needed naps this afternoonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — day 7, dose 2MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: I was talking to an individual about my fatigue and she said that was found to be common in people with an autoimmune disease. I have mild rheumatoid arthritis. Maybe???MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
-
2021-06-17
Survey response — 3 months, dose 2MedDRA: Atrial fibrillation, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: I have been through testing fkr my heart (Afluctucuation) and an ablation and am in and out of Afib now. Had been experiencing symptoms (my spelling is terrible today) before Clvid shots. · Healthcare visit (other): AblationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-17
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-25
- 2021-09-16
-
2021-10-27
Dose 3 — Moderna
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-18
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-26
Dose 4 — Moderna
- 2022-04-27
- 2022-05-18
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-07-26
-
2022-10-27
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID positive. Sore throat, headache, deep full bodied cough. Very tired.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Joint pain just in the knuckles of my right hand. I blamed the tiredness on a full meal after the immunization though.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I think its just old age.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): 60 degrees and sunny and I just want to nap.
Systemic reaction (other): I just couldnt get up this morning. Slept extra 3 hours.
Systemic reaction (other): Needed naps this afternoon
Release 6 — day 7, dose 2
Systemic reaction (other): I was talking to an individual about my fatigue and she said that was found to be common in people with an autoimmune disease. I have mild rheumatoid arthritis. Maybe???
Release 9 — 3 months, dose 2
Symptoms: I have been through testing fkr my heart (Afluctucuation) and an ablation and am in and out of Afib now. Had been experiencing symptoms (my spelling is terrible today) before Clvid shots.
Healthcare visit (other): Ablation
Release 12 — 6 months, dose 4
Symptoms: COVID positive. Sore throat, headache, deep full bodied cough. Very tired.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release