5HT-26215-40310
5 vaccinations
8 coded responses
31 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 149 / NY
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-01-05
Registered in v-safe
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Neck pain — Feeling: GoodFree text: Back of my neck has been achyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
-
2021-02-22
Survey response — day 21, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: Tired headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
-
2021-03-08
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
-
2021-05-03
Survey response — 3 months, dose 2MedDRA: Fatigue, Sinusitis — Feeling: Fair · Be unable to workFree text: I had a sinus infection. Feeling tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-04
Dose 3 — Moderna
- 2022-02-01
- 2022-03-07
-
2022-07-22
Dose 4 — Janssen/Johnson & Johnson
-
2022-08-22
Dose 5 — Janssen/Johnson & Johnson
-
2022-09-05
Survey response — 12 months, dose 3MedDRA: Joint range of motion decreased, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: My left arm has been hurting which is where the vaccine was administered on July 22. My range of motion is limited! My right arm where the second vaccine was administered 8/22/22 does NOT hurt.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-05
Survey response — day 14, dose 5MedDRA: Joint range of motion decreased, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Left arm hurts with limited range of motion. Left arm is where the vaccine was administered 7/22/22.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-12
- 2022-09-19
-
2022-09-27
Survey response — day 35, dose 5MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: My arm still hurts ?the shot was administered 7/22/22!MedDRA releases: 2024-11 · check-in free text available
- 2022-10-03
- 2022-11-21
-
2023-02-20
Survey response — 6 months, dose 5MedDRA: Office visit, Upper respiratory tract infection — 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 professionalMedDRA releases: 2024-11
-
2023-02-20
Report sent to call center — 6 months, dose 5Be 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)
- 2023-02-21
-
2023-02-21
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-09-04 | Moderna | No |
| 4 | 2022-07-22 | Janssen/Johnson & Johnson | No |
| 5 | 2022-08-22 | Janssen/Johnson & Johnson | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Back of my neck has been achy
Release 4 — day 21, dose 2
Symptoms: Tired headache
Release 5 — day 35, dose 2
Symptoms: Fatigue
Release 8 — 3 months, dose 2
Symptoms: I had a sinus infection. Feeling tired
Release 12 — 12 months, dose 3
Symptoms: My left arm has been hurting which is where the vaccine was administered on July 22. My range of motion is limited! My right arm where the second vaccine was administered 8/22/22 does NOT hurt.
Release 12 — day 14, dose 5
Symptoms: Left arm hurts with limited range of motion. Left arm is where the vaccine was administered 7/22/22.
Release 12 — day 35, dose 5
Symptoms: My arm still hurts ?the shot was administered 7/22/22!
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint range of motion decreased | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release