5RN-24787-64564
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 775 / TX
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 1 — Moderna
-
2021-02-23
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tirednessFree text: MildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Vision blurred — Feeling: Good · HeadacheFree text: Some blurring of eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
-
2021-03-09
Survey response — day 14, dose 1MedDRA: Malaise, Pain in extremity — Feeling: GoodFree text: Didnt feel wellLegs ached.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-23
Dose 2 — Moderna
-
2021-03-23
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Influenza like illness, Insomnia, Pyrexia — Feeling: Good · Site: PainFree text: I did have many symptoms yesterday evening & last night with fever, chills flu like symptoms couldnt sleep because of feeling so bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
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2021-04-06
Survey response — day 14, dose 2MedDRA: Dizziness, Headache, Nausea, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Had dizzy spell early Sunday AM with Nausea body aches Monday better. Today, Tuesday felt bad headaches body aches with some nausea all day just feel badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 21, dose 2MedDRA: Asthenia, Dizziness, Headache, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Body aches, headaches, dizziness& nausea, weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-27
-
2021-05-04
Survey response — day 42, dose 2MedDRA: Asthenia, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Have episodes of body aches and weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
- 2021-09-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Mild
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Some blurring of eyes
Release 5 — day 14, dose 1
Symptoms: Didnt feel wellLegs ached.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I did have many symptoms yesterday evening & last night with fever, chills flu like symptoms couldnt sleep because of feeling so bad.
Release 7 — day 14, dose 2
Symptoms: Had dizzy spell early Sunday AM with Nausea body aches Monday better. Today, Tuesday felt bad headaches body aches with some nausea all day just feel bad
Release 7 — day 21, dose 2
Symptoms: Body aches, headaches, dizziness& nausea, weakness
Release 8 — day 42, dose 2
Symptoms: Have episodes of body aches and weakness
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release