5N5-23209-44406
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 050 / VT
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Moderna
- 2020-12-26
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
-
2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: No but the previous question is worded confusingly. Should be the same as this one about timingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-09
- 2021-01-16
-
2021-01-23
Dose 2 — Moderna
-
2021-01-23
Survey response — day 0, dose 2MedDRA: Dysgeusia, Dyspnoea — Feeling: GoodFree text: MAYBE brief SOB and metallic mouth taste at about 25 minutes that self resolved for n 10 minutes. It was very cold out so could be unrelatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-04-24
-
2021-07-24
Survey response — 6 months, dose 2MedDRA: Arrhythmia, Dyspnoea exertional — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: In hind sight, I may have developed cardiomyopathy after my second dose. I had SOB with mild exertion and arrythmias after my second dose. At the time I thought it was unrelated.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-24
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-05
- 2021-08-11
-
2022-01-23
Survey response — 12 months, dose 2MedDRA: Eyelid margin crusting, Nasal congestion, Upper-airway cough syndrome — Feeling: GoodFree text: Mild post nasal drip and stuffy nose and eye crusting for about 10 days starting 2 weeks wMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-23 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): No but the previous question is worded confusingly. Should be the same as this one about timing
Release 2 — day 0, dose 2
Systemic reaction (other): MAYBE brief SOB and metallic mouth taste at about 25 minutes that self resolved for n 10 minutes. It was very cold out so could be unrelated
Release 9 — 6 months, dose 2
Symptoms: In hind sight, I may have developed cardiomyopathy after my second dose. I had SOB with mild exertion and arrythmias after my second dose. At the time I thought it was unrelated.
Release 11 — 12 months, dose 2
Symptoms: Mild post nasal drip and stuffy nose and eye crusting for about 10 days starting 2 weeks w
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 | Arrhythmia | ✓ | · | ✓ |
| SD | Dyspnoea exertional | ✓ | · | ✓ |
| SD | Eyelid margin crusting | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release