5JX-15233-52409
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 342 / FL
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
- 2021-01-03
-
2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-06
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-08
-
2021-01-09
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-01
Dose 2 — Moderna
- 2021-02-13
-
2021-02-15
Survey response — day 14, dose 2MedDRA: Dizziness, Vertigo, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Am having vertigo and dizziness. Particularly in morning when rooms spins and I cannot focusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
-
2021-05-05
Survey response — 3 months, dose 2MedDRA: Balance disorder, Vertigo — Feeling: GoodFree text: Vertigo and balance issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-02
Survey response — 6 months, dose 2MedDRA: Arthralgia, Arthritis, Emergency care, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Extreme arthritis pain in all my joints I believe I had Gastric CoVid (March 2019) when no one in the hospital knew it existed. I was sent home from (b)(6) emergency room. Personal physician could not get me CoVid test at the time · Healthcare visit (other): Visit to primary physician and also an Arthritis doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-02
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-01 | Moderna |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 4 — day 14, dose 2
Symptoms: Am having vertigo and dizziness. Particularly in morning when rooms spins and I cannot focus
Release 8 — 3 months, dose 2
Symptoms: Vertigo and balance issues
Release 9 — 6 months, dose 2
Symptoms: Extreme arthritis pain in all my joints I believe I had Gastric CoVid (March 2019) when no one in the hospital knew it existed. I was sent home from (b)(6) emergency room. Personal physician could not get me CoVid test at the time
Healthcare visit (other): Visit to primary physician and also an Arthritis doctor
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Arthritis | ✓ | · | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release