5G3-11957-97692
2 vaccinations
2 coded responses
12 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 939 / CA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Moderna
-
2021-03-14
Dose 2 — Moderna
-
2021-03-17
Registered in v-safe
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Headache, Myalgia, Pyrexia — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Since I had the 2nd shot 4 days ago, I did wake up with a headache, had muscle aches and a slight fever. Still had all the same symptoms the 2nd day following, On the 3rd day, all that was left was low energy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-19
- 2021-04-25
- 2021-06-13
-
2021-09-12
Survey response — 6 months, dose 2MedDRA: Headache, Myalgia, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Slight headache along with low grade fever, slight muscle aches and congestion. Tested positive for Covid-19 on 8/30/2021 in (b)(6) , GA while visiting family. Tested negative on 9/7/2021 before returning home.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-12
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-15
- 2021-09-21
- 2021-09-23
- 2021-09-29
- 2022-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-14 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Since I had the 2nd shot 4 days ago, I did wake up with a headache, had muscle aches and a slight fever. Still had all the same symptoms the 2nd day following, On the 3rd day, all that was left was low energy.
Release 9 — 6 months, dose 2
Symptoms: Slight headache along with low grade fever, slight muscle aches and congestion. Tested positive for Covid-19 on 8/30/2021 in (b)(6) , GA while visiting family. Tested negative on 9/7/2021 before returning home.
redacted (b)(6)
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 | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release