5DY-13511-55805
5 vaccinations
8 coded responses
42 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 199 / DE
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-25
Dose 1 — Moderna
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2021-01-27
Registered in v-safe
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Headache, Joint painsFree text: I need to correct my birth dateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Headache, Muscle or body achesFree text: Need to correct my birthdateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Abdominal painFree text: Need to correct my date of birthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Need to correct my birthdate in profikeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-08
- 2021-02-15
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2021-02-22
Dose 2 — Moderna
- 2021-02-22
- 2021-02-22
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-28
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2021-03-01
Survey response — day 7, dose 2MedDRA: Fatigue, Feeling hot — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: All of a sudden felt warm and exhaustedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — day 14, dose 2MedDRA: Malaise — Feeling: FairFree text: I keep having recurring general maladies. A feeling of unwell ness comes over me suddenly. At times I feel like running a low grade temp. Wondering g if this could be a lingering result of the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — day 21, dose 2MedDRA: Chills, Fatigue, Malaise, Pain — Feeling: FairFree text: It just comes over me. A feeling of unwell. Nothing debilitating but always on my mind is whether this is still from vaccine. Achy chills fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
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2021-09-10
Dose 3 — Moderna
- 2021-10-27
- 2021-12-10
- 2022-03-11
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2022-03-20
Dose 4 — Moderna
- 2022-06-19
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2022-09-20
Survey response — 6 months, dose 4MedDRA: Chest pain, Dyspnoea, Hospitalisation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sever chest pain and shortness of breath leading to hospitalizationMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Dose 5 — Moderna
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2023-01-24
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-09-10 | Moderna | No |
| 4 | 2022-03-20 | Moderna | No |
| 5 | 2022-10-25 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I need to correct my birth date
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Need to correct my birthdate
Systemic reaction (other): Need to correct my date of birth
Systemic reaction (other): Need to correct my birthdate in profike
Release 4 — day 7, dose 2
Systemic reaction (other): All of a sudden felt warm and exhausted
Release 5 — day 14, dose 2
Symptoms: I keep having recurring general maladies. A feeling of unwell ness comes over me suddenly. At times I feel like running a low grade temp. Wondering g if this could be a lingering result of the vaccine.
Release 5 — day 21, dose 2
Symptoms: It just comes over me. A feeling of unwell. Nothing debilitating but always on my mind is whether this is still from vaccine. Achy chills fatigue
Release 12 — 6 months, dose 4
Symptoms: Sever chest pain and shortness of breath leading to hospitalization
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 | Chest pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release