5Q2-16595-61045
1 vaccination
4 coded responses
12 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 665 / KS
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Colitis, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have to have a remicade infusion every 8 weeks due to colitis. I also take synthroid, losartan, simvastatin, tramadol & sulfasalazin plus asst vitamins & culturelle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Head discomfort, Somnolence — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Very sleepy, slight medicine headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety — Feeling: Good · Site: Itching · HeadacheFree text: Just anxiety over having to get the second shot considering how I reacted after the first one!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Health check-in — day 7, dose 1Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 28, dose 1MedDRA: Asthenia, Decreased appetite, Diarrhoea, Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: At 5:30am Tues I awoke with severe diarrhea. It lasted until thurs am so my shot was postponed for a few days. Im better but not good, no energy & not much appetite. I do try to drink a lot. No fever but dizzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have to have a remicade infusion every 8 weeks due to colitis. I also take synthroid, losartan, simvastatin, tramadol & sulfasalazin plus asst vitamins & culturelle.
Systemic reaction (other): Very sleepy, slight medicine head
Systemic reaction (other): Just anxiety over having to get the second shot considering how I reacted after the first one!
Release 5 — day 28, dose 1
Symptoms: At 5:30am Tues I awoke with severe diarrhea. It lasted until thurs am so my shot was postponed for a few days. Im better but not good, no energy & not much appetite. I do try to drink a lot. No fever but dizzy.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Colitis | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release