5RH-20380-53687
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 341 / FL
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-03-21
Registered in v-safe
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Lethargy, Nausea, Pain in extremity, Somnolence, Tremor — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: On the night I got the shot and all the next day. I was totally lethargic my arm hurt and I felt nauseous and had tremendous chills and tremors. Slept till 7 PM the next nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-03
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Malaise — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: The symptoms I am describing are from yesterday, the day after our vaccination. We were so sick that I could not respond and when I tried to do it today after recovering, it said the opportunity to do so had expired. Would you rate your symptoms chills or severeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-07-15
- 2021-10-14
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): On the night I got the shot and all the next day. I was totally lethargic my arm hurt and I felt nauseous and had tremendous chills and tremors. Slept till 7 PM the next night
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The symptoms I am describing are from yesterday, the day after our vaccination. We were so sick that I could not respond and when I tried to do it today after recovering, it said the opportunity to do so had expired. Would you rate your symptoms chills or severe
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 | Lethargy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release