5NG-33418-90209
5 vaccinations
4 coded responses
39 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 335 / FL
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
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2021-04-02
Survey response — day 28, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: GoodFree text: A week ago, my arm turned very red, was warm to the touch with swelling and itched. This was all at the injection site. It lasted 2 days. It did not incapacitate me. I felt like the vaccine was just doing its job.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Dose 2 — Moderna
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration, Emergency care, Fatigue, Loss of consciousness — Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I passed out and my husband called the paramedics. They checked all my vitals and did a portable EKG test, checked my blood sugar Everything checked out but they said I was dehydrated. I have been drinking a lot of fluids since this episode and Im feeling much better. I still feel fatigued. · Healthcare visit (other): My husband called an ambulance when I passed out. I was not transported to the hospital.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-05-03
Survey response — day 28, dose 2MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
-
2021-10-28
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
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2021-11-18
Survey response — day 21, dose 3MedDRA: Cough, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Chronic coughing , low grade fever and body achesMedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-19
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
-
2022-04-05
Dose 4 — Moderna
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
-
2022-09-17
Dose 5 — Moderna
- 2022-10-04
- 2022-10-22
- 2022-10-29
- 2022-12-17
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-09-17 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 28, dose 1
Symptoms: A week ago, my arm turned very red, was warm to the touch with swelling and itched. This was all at the injection site. It lasted 2 days. It did not incapacitate me. I felt like the vaccine was just doing its job.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I passed out and my husband called the paramedics. They checked all my vitals and did a portable EKG test, checked my blood sugar Everything checked out but they said I was dehydrated. I have been drinking a lot of fluids since this episode and Im feeling much better. I still feel fatigued.
Healthcare visit (other): My husband called an ambulance when I passed out. I was not transported to the hospital.
Release 8 — day 28, dose 2
Symptoms: Lightheaded
Release 10 — day 21, dose 3
Symptoms: Chronic coughing , low grade fever and body aches
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release