5DW-12505-65335
1 vaccination
3 coded responses
13 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 064 / CT
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
-
2021-02-05
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: (This is my 2nd dose)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Headache, Hyperhidrosis, Pain, Pain in extremity, Pyrexia, Vaccine positive rechallenge — Feeling: GoodFree text: Please update this was my second shot. My first one was a headache and sore arm that lasted a day. The second shot I got a headache at 11th hour, very sore arm, and then around 16 hours I had chills body aches and fatigue and fever. Fell asleep and 18th hour I woke up full sweat - but felt much better just tired- and then felt great after thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-05-07
- 2021-08-06
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2022-02-05
Survey response — 12 months, dose 1MedDRA: Skin cancer, Tumour excision — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Not Covid related. - skin cancer, and borderline 6.23 pound tumor removedMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): (This is my 2nd dose)
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Please update this was my second shot. My first one was a headache and sore arm that lasted a day. The second shot I got a headache at 11th hour, very sore arm, and then around 16 hours I had chills body aches and fatigue and fever. Fell asleep and 18th hour I woke up full sweat - but felt much better just tired- and then felt great after that
Release 11 — 12 months, dose 1
Symptoms: Not Covid related. - skin cancer, and borderline 6.23 pound tumor removed
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 | Skin cancer | · | · | ✓ |
| SD | Tumour excision | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release