5CY-17008-84888
2 vaccinations
6 coded responses
9 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 931 / CA
- Registered
- 2021-04-04
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-03
Dose 1 — Moderna
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2021-04-03
Dose 2 — Moderna
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2021-04-04
Registered in v-safe
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body achesFree text: The area of the injection feels hot to the touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Injection site is hot to the touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: New daily persistent headache — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: The headaches happen daily.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Depression — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I'm very depressed. Don't know why.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
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2021-04-17
Survey response — day 14, dose 2MedDRA: Musculoskeletal stiffness, Pain, Vision blurred — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Extreme stiffness of right side of my neck. Severe pain causing migraines on right side of face. Right eye blurred vision due to pain. This has been going on for THREE DAYS. Pain killers dont help. Only sleep helps.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 28, dose 2MedDRA: Migraine, Musculoskeletal stiffness, Neck pain, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My very painful stiff neck continues. Migraines result from the pain including blurred vision of my right eye. NOTHING helps it, except sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-03 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): The area of the injection feels hot to the touch.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Injection site is hot to the touch.
Systemic reaction (other): The headaches happen daily.
Systemic reaction (other): I'm very depressed. Don't know why.
Release 7 — day 14, dose 2
Symptoms: Extreme stiffness of right side of my neck. Severe pain causing migraines on right side of face. Right eye blurred vision due to pain. This has been going on for THREE DAYS. Pain killers dont help. Only sleep helps.
Release 8 — day 28, dose 2
Symptoms: My very painful stiff neck continues. Migraines result from the pain including blurred vision of my right eye. NOTHING helps it, except sleep.
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 | Migraine | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | New daily persistent headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release