5DM-75950-64636
5 vaccinations
6 coded responses
53 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: GoodFree text: I developed a cold sore on my lip..don't know if it's related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: GoodFree text: just the cold sore on my lip that I mentioned yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Red rash appeared at injection site about a week after my shot. Lasted 2 days . Not painful or itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
-
2021-03-18
Survey response — day 21, dose 2MedDRA: Diarrhoea, Pain — Feeling: FairFree text: Diarrhea and feeling achy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
-
2021-08-16
Dose 3 — Moderna
- 2021-08-26
- 2021-11-15
- 2022-02-14
-
2022-04-11
Dose 4 — Moderna
-
2022-04-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-13
- 2022-04-14
- 2022-04-15
- 2022-04-16
-
2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-18
Health check-in — day 7, dose 4Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
-
2022-07-11
Survey response — 3 months, dose 4MedDRA: Atrial fibrillation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Atrial fibrillation · Healthcare visit (other): Visit to heart doctor and prescription for a blood thinnerMedDRA releases: 2024-11 · check-in free text available
-
2022-07-11
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-12
-
2022-07-13
Callback requested for02:30PM ET
-
2022-07-13
Call successfulCompleted over the phone
-
2022-10-04
Dose 5 — Moderna
-
2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Pain — Feeling: GoodFree text: I felt very tired and achy the day after my booster shot, but I was back to normal the next dayMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-10-04 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I developed a cold sore on my lip..don't know if it's related.
Systemic reaction (other): just the cold sore on my lip that I mentioned yesterday
Release 3 — day 14, dose 1
Symptoms: Red rash appeared at injection site about a week after my shot. Lasted 2 days . Not painful or itchy.
Release 5 — day 21, dose 2
Symptoms: Diarrhea and feeling achy.
Release 12 — 3 months, dose 4
Symptoms: Atrial fibrillation
Healthcare visit (other): Visit to heart doctor and prescription for a blood thinner
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I felt very tired and achy the day after my booster shot, but I was back to normal the next day
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 | Office visit | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release