5R9-31045-39493
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 917 / CA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Registered in v-safe
-
2021-03-14
Dose 1 — Moderna
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Injection site pain, Paraesthesia — Feeling: Good · Site: Pain, ItchingFree text: 13 hrs after receiving the vaccine I began having a moderate sore left shoulder were the shot was administered. Also developed tingling in left arm and hand. 17 hrs after receiving the vaccine, The shoulder soreness reduced to mild and I felt a little foggy in my head.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
-
2021-03-28
Survey response — day 14, dose 1MedDRA: Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a headache and felt tired on the 14th day after the injection. These symptoms only lasted for one day. I slept for the majority of the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
-
2021-04-11
Dose 2 — Moderna
- 2021-04-11
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: A little bit of a soar throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
-
2021-05-23
Survey response — day 42, dose 2MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-10
- 2022-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Moderna | |
| 2 | 2021-04-11 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): 13 hrs after receiving the vaccine I began having a moderate sore left shoulder were the shot was administered. Also developed tingling in left arm and hand. 17 hrs after receiving the vaccine, The shoulder soreness reduced to mild and I felt a little foggy in my head.
Release 6 — day 14, dose 1
Symptoms: Had a headache and felt tired on the 14th day after the injection. These symptoms only lasted for one day. I slept for the majority of the day.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): A little bit of a soar throat
Release 8 — day 42, dose 2
Symptoms: Headaches
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release