5NR-91143-51817
5 vaccinations
3 coded responses
53 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 305 / GA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
- 2021-02-27
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
-
2021-03-11
Survey response — day 0, dose 2MedDRA: Erythema, Pruritus, Swelling — Feeling: GoodFree text: This applies to 1st dose symptom that was not previously reported - 7 days after 1st shot I had swollen, red, itchy arm that lasted 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-10-25
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-25
Dose 4 — Moderna
- 2022-04-25
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
-
2022-09-30
Dose 5 — Moderna
-
2022-10-03
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Pyrexia, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: I missed getting in my report from 10/2/22 and 10/1/22 the 2 days after my booster. For 36 hours after booster I had a low grade fever and fatigue. The side effects of this booster were about 50% as severe as the other shotsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-12
-
2022-12-30
Survey response — 3 months, dose 5MedDRA: Cough, Fatigue, Headache, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to work or attend schoolFree text: Headache, sinus drainage, fatigue, dry coughMedDRA releases: 2024-11 · check-in free text available
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-09-30 | Moderna | No |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): This applies to 1st dose symptom that was not previously reported - 7 days after 1st shot I had swollen, red, itchy arm that lasted 2 days
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I missed getting in my report from 10/2/22 and 10/1/22 the 2 days after my booster. For 36 hours after booster I had a low grade fever and fatigue. The side effects of this booster were about 50% as severe as the other shots
Release 12 — 3 months, dose 5
Symptoms: Headache, sinus drainage, fatigue, dry cough
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release