5CS-12691-37532
2 vaccinations
2 coded responses
7 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 494 / MI
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-26
Survey response — day 7, dose 1MedDRA: Pain in extremity, Sleep disorder — Feeling: GoodFree text: My arm was very sore the evening after I was vaccinated, into the the next day, to the point that I couldn't get comfortable when I went to bed. I have been trying to use this via your link daily but this is only the second time it worked. Error messages/invalid page.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-04-14
Survey response — day 28, dose 1MedDRA: Dizziness, Dyspnoea, Headache, Nausea, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ongoing headache, nausea and a bit of dizziness. Because I have year round allergies and frequent sinus infections, this is the first time I have hoped it's another dinus infection, rather than Covid. Breathing discomfort may be my asthma.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Dose 2 — Moderna
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-05-08
- 2021-07-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): My arm was very sore the evening after I was vaccinated, into the the next day, to the point that I couldn't get comfortable when I went to bed. I have been trying to use this via your link daily but this is only the second time it worked. Error messages/invalid page.
Release 7 — day 28, dose 1
Symptoms: Ongoing headache, nausea and a bit of dizziness. Because I have year round allergies and frequent sinus infections, this is the first time I have hoped it's another dinus infection, rather than Covid. Breathing discomfort may be my asthma.
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release