5RF-50187-87093
3 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 786 / TX
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Had trouble sleeping due to sore arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-04
- 2021-02-12
- 2021-02-18
- 2021-02-25
-
2021-03-06
Dose 2 — Moderna
-
2021-03-06
Survey response — day 0, dose 2MedDRA: Fatigue, Hypersomnia, Pyrexia — Feeling: Good · FeverFree text: The first 24 hours I was fine. second 24 hrs I had fever and slept 15 hours. Very tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site swelling, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: After the first shot on the eighth day after you stopped asking I had what I have heard as COVID arm, a 3 inch diameter swelling where the shot was. The second shot I had on the opposite arm. I did not have COVID arm on the second shot just the fever and very tired feeling the second day after the shot. What was surprising to me was that these questions where not asked on the days I had a reaction. Makes me wonder if that was on purpose or just coincidence ?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-09-04
-
2021-10-22
Dose 3 — ModernaCo-administered: Flu
- 2021-10-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-22 | Moderna | Flu |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Had trouble sleeping due to sore arm.
Release 5 — day 0, dose 2
Systemic reaction (other): The first 24 hours I was fine. second 24 hrs I had fever and slept 15 hours. Very tired.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): After the first shot on the eighth day after you stopped asking I had what I have heard as COVID arm, a 3 inch diameter swelling where the shot was. The second shot I had on the opposite arm. I did not have COVID arm on the second shot just the fever and very tired feeling the second day after the shot. What was surprising to me was that these questions where not asked on the days I had a reaction. Makes me wonder if that was on purpose or just coincidence ?
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 | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release