5LX-26221-51058
3 vaccinations
3 coded responses
30 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Moderna
-
2021-04-17
Registered in v-safe
-
2021-04-17
Survey response — day 7, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: I only felt li' tired day after/so, that's all...from shot#1.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Chills, Feeling hot, Headache, Hyperhidrosis, Pain, Self-medication, Somnolence — Feeling: Good · Chills, Headache, Joint pains, Muscle or body achesFree text: 5/5 shot @ 9am...interestingly had no signs but sleepy...but late @ night in bed got chills, pressure headache (never get headaches) then got hot/sweats & body aches some. Took Ibupofen, washcloth cool down clean up & back to bed. Fine when got up, slightly not @ usual energy level but fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-17
- 2021-08-04
- 2021-11-03
-
2021-11-05
Dose 3 — Moderna
-
2021-11-05
Survey response — day 0, dose 3MedDRA: Headache — Feeling: Good · Headache, Fatigue or tirednessFree text: headaches very slight- normally don't get anywayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): I only felt li' tired day after/so, that's all...from shot#1.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): 5/5 shot @ 9am...interestingly had no signs but sleepy...but late @ night in bed got chills, pressure headache (never get headaches) then got hot/sweats & body aches some. Took Ibupofen, washcloth cool down clean up & back to bed. Fine when got up, slightly not @ usual energy level but fine.
Release 10 — day 0, dose 3
Systemic reaction (other): headaches very slight- normally don't get anyway
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 | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release