5LJ-30993-11719
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 711 / LA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-24
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-01-26
-
2021-02-02
Survey response — day 14, dose 1MedDRA: Erythema, Injection site pruritus, Injection site reaction, Peripheral swelling — Feeling: GoodFree text: Extremely red and swollen arm - large rectangular shaped area starting just above site of shot and all down my bicep. I noticed it the night of last check in but after I had checked in. Lasted a few days. Also itchedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-20
- 2021-03-25
- 2021-04-01
-
2021-04-10
Survey response — day 42, dose 2MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Extreme fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Survey response — 3 months, dose 2MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Sinusitis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infection- cough, sore throat, 99 temp, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Back pain, Fatigue, Headache, Lymph node pain, Lymphadenopathy, Neck pain, Pulmonary congestion, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fatigue, slight feeling in lungs when breathing (tightness?) congestion, headache, back and neck pain, and day after booster shot on January 21, very swollen and sore lymph node in left arm pit - same side as shot- fever, extreme fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: Extremely red and swollen arm - large rectangular shaped area starting just above site of shot and all down my bicep. I noticed it the night of last check in but after I had checked in. Lasted a few days. Also itched
Release 7 — day 42, dose 2
Symptoms: Extreme fatigue
Release 8 — 3 months, dose 2
Symptoms: Sinus infection- cough, sore throat, 99 temp, congestion
Release 11 — 12 months, dose 2
Symptoms: Fatigue, slight feeling in lungs when breathing (tightness?) congestion, headache, back and neck pain, and day after booster shot on January 21, very swollen and sore lymph node in left arm pit - same side as shot- fever, extreme fatigue
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 | Back pain | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release