5DG-87563-51371
4 vaccinations
6 coded responses
42 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 935 / CA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-13
Dose 2 — Moderna
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-05-18
Survey response — day 35, dose 2MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to workFree text: Sore throat, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
-
2021-07-13
Survey response — 3 months, dose 2MedDRA: Fatigue, Gastrointestinal disorder, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chest congestion, mild sore throat, mild bowel issues, light to moderate fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-12
-
2021-10-28
Dose 3 — Moderna
-
2021-10-28
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Painful, swollen lymph node under arm, injection sideMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Under arm lymph node pain/swellingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-29
-
2022-04-06
Dose 4 — Moderna
-
2022-04-14
Survey response — day 7, dose 4MedDRA: Myalgia, Pain in extremity — Feeling: GoodFree text: In the 24 hrs after shot I had arm pain and whole body muscle achesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
- 2022-05-04
- 2022-05-18
-
2022-07-06
Survey response — 3 months, dose 4MedDRA: Change of bowel habit, Chest discomfort, Chest pain, Exposure to SARS-CoV-2, Fatigue, Muscle discomfort, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: COVID symptoms end of May, 3 days after my husband. We tested and he was positive but I continuously tested negative even with symptoms (severe fatigue, chest pain/tightness, muscle discomfort and some minor sore throat, bowel changes)ongoing stillMedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
Free text
Release 8 — day 35, dose 2
Symptoms: Sore throat, fatigue
Release 9 — 3 months, dose 2
Symptoms: Chest congestion, mild sore throat, mild bowel issues, light to moderate fatigue
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Painful, swollen lymph node under arm, injection side
Systemic reaction (other): Under arm lymph node pain/swelling
Release 11 — day 7, dose 4
Systemic reaction (other): In the 24 hrs after shot I had arm pain and whole body muscle aches
Release 12 — 3 months, dose 4
Symptoms: COVID symptoms end of May, 3 days after my husband. We tested and he was positive but I continuously tested negative even with symptoms (severe fatigue, chest pain/tightness, muscle discomfort and some minor sore throat, bowel changes)ongoing still cut off by CDC
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 | Change of bowel habit | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Muscle discomfort | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release