5LB-11441-52194
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 930 / CA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
- 2021-03-04
- 2021-03-05
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Injection site pain, Pruritus — Feeling: Good · Site: ItchingFree text: Itching/redness was yesterday;didn't last long. Injection site a tad tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: *Very* minimal tenderness @ injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Breast pain, Pre-existing disease — Feeling: GoodFree text: Pain on right breast earlier this afternoon but no more. Weird. Breast cancer on that breast in 2017 but not in lymph node. Small tiny area was successfully removed. 4 weeks radiation. Was a sensitive area for awhile. But no discomfort in right breast area for a couple years til this afternoon but the soreness now gone. WEIRD.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Lethargy — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feel lethargic; woke up in middle of nite, got up and head felt woozy for a few seconds...then went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
- 2022-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Itching/redness was yesterday;didn't last long. Injection site a tad tender.
Systemic reaction (other): *Very* minimal tenderness @ injection site
Systemic reaction (other): Pain on right breast earlier this afternoon but no more. Weird. Breast cancer on that breast in 2017 but not in lymph node. Small tiny area was successfully removed. 4 weeks radiation. Was a sensitive area for awhile. But no discomfort in right breast area for a couple years til this afternoon but the soreness now gone. WEIRD.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Feel lethargic; woke up in middle of nite, got up and head felt woozy for a few seconds...then went away.
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 |
|---|---|---|---|---|
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release