5NT-25323-40221
5 vaccinations
3 coded responses
35 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 920 / CA
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: This is my second vaccine; the first one was January 11th.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-05
Dose 2 — Moderna
-
2021-03-05
Survey response — day 0, dose 2MedDRA: Chills, Myalgia, Pyrexia — Feeling: Good · HeadacheFree text: MY FIRST VACCINE WAS JANUARY 11th, SECOND VACCINE WAS FEBRUARY 8th. I COMPLETELY THE DAILY QUESTIONNAIRIES AFTER MY SECOND VACCINE. AFTER MY SECOND VACCINE, I HAD FEVER CHILLS AND MUSCKE ACHES FOR ABOUT 24 HOURS. THAT WAS FEBRUARY 9TH. I AM GRATEFUL FOR BOTH OF THE VACCINES. COULD YOU PLEASE CHANGE YOUR DATA TO REFLECT MY FIRST MODERNA VACCINE ON JANUARY 12TH AND SECOND MODERNA VACCINE ON FEBRUARY 8TH? THANK YOU. VACCINES.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · HeadacheFree text: Again, I have had both shots. First one on January 11th, second on February 8th.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
-
2021-08-23
Dose 3 — Moderna
- 2021-09-03
- 2021-11-24
- 2022-02-21
-
2022-04-28
Dose 4 — Moderna
- 2022-07-28
-
2022-09-12
Dose 5 — Moderna
- 2022-09-22
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-08-23 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-09-12 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): This is my second vaccine; the first one was January 11th.
Release 5 — day 0, dose 2
Systemic reaction (other): MY FIRST VACCINE WAS JANUARY 11th, SECOND VACCINE WAS FEBRUARY 8th. I COMPLETELY THE DAILY QUESTIONNAIRIES AFTER MY SECOND VACCINE. AFTER MY SECOND VACCINE, I HAD FEVER CHILLS AND MUSCKE ACHES FOR ABOUT 24 HOURS. THAT WAS FEBRUARY 9TH. I AM GRATEFUL FOR BOTH OF THE VACCINES. COULD YOU PLEASE CHANGE YOUR DATA TO REFLECT MY FIRST MODERNA VACCINE ON JANUARY 12TH AND SECOND MODERNA VACCINE ON FEBRUARY 8TH? THANK YOU. VACCINES.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Again, I have had both shots. First one on January 11th, second on February 8th.
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 | Chills | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release