5C5-96117-97561
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 961 / CA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: Good · Site: PainFree text: Had chills the first night. Not since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-02-01
- 2021-02-08
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Ive had five bloody noses. Dont know if its related to vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Feeling of body temperature change, Myalgia, Pain in extremity, Paraesthesia — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: I had to choose a symptom so I chose muscle aches even though its only the one arm. I got them injections in both arms. My right the first time and my left the second time. Its been a month since my first shot and the right arm still hurts. It gets weird tingle feelings, almost feels hot or cold sometimes. The second one is nothing close to this one.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-03-07
- 2021-03-15
- 2021-08-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Had chills the first night. Not since.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Ive had five bloody noses. Dont know if its related to vaccine or not.
Systemic reaction (other): I had to choose a symptom so I chose muscle aches even though its only the one arm. I got them injections in both arms. My right the first time and my left the second time. Its been a month since my first shot and the right arm still hurts. It gets weird tingle feelings, almost feels hot or cold sometimes. The second one is nothing close to this one.
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release