5G5-13243-90973
1 vaccination
7 coded responses
9 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 925 / CA
- Registered
- 2021-08-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-08-04
Registered in v-safe
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2021-08-04
Dose 1 — Moderna
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2021-08-04
Survey response — day 0, dose 1MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesFree text: Back of my neck is stiff and achesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-08-06
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: Fair · Site: PainFree text: Still have Mild to moderate pain in the back of my neckMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-07
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Neck pain — Feeling: Good · ChillsFree text: My neck still hurts very mild an I still have a headache its not as bad as it was it comes and goesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-09
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-13
Survey response — day 7, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Ive been extremely tired dont know if that has anything to do with the vaccination or notMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-18
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2021-08-27
Survey response — day 21, dose 1MedDRA: Dyspnoea, Epidural injection, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Extreme headaches Sore throat shortness of breath Extreme fatigueStuffy & runny nose · Healthcare visit (other): EpiduralMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Report sent to call center — day 21, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-09-01
Survey response — day 28, dose 1MedDRA: Dyspnoea, Headache, Hypersomnia, Lethargy, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very congested low grade fever, I get winded very easy, lethargic, 9 scale headache, 8 scale body pain. Slept the entire weekend Covid test was negative as of yesterdayMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-12-14
- 2021-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-04 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Back of my neck is stiff and aches
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Still have Mild to moderate pain in the back of my neck
Systemic reaction (other): My neck still hurts very mild an I still have a headache its not as bad as it was it comes and goes
Systemic reaction (other): None
Release 9 — day 7, dose 1
Systemic reaction (other): Ive been extremely tired dont know if that has anything to do with the vaccination or not
Release 9 — day 21, dose 1
Symptoms: Extreme headaches Sore throat shortness of breath Extreme fatigueStuffy & runny nose
Healthcare visit (other): Epidural
Release 9 — day 28, dose 1
Symptoms: Very congested low grade fever, I get winded very easy, lethargic, 9 scale headache, 8 scale body pain. Slept the entire weekend Covid test was negative as of yesterday
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 | Epidural injection | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypersomnia | ✓ | · | ✓ |
| SD | Lethargy | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | · | ✓ |
| SRO | Neck pain | ✓ | · | ✓ |
| SRO | No adverse event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release