5RS-33569-71270
3 vaccinations
13 coded responses
26 check-ins
12 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 708 / LA
- Registered
- 2021-09-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-22
Dose 1 — Moderna
-
2021-09-25
Registered in v-safe
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2021-09-25
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: soar throatMedDRA releases: 2024-11 · check-in free text available
- 2021-09-26
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2021-09-27
Survey response — days 1–6 daily, dose 1MedDRA: Sinus congestion — Feeling: Good · Headache, Fatigue or tirednessFree text: Sinus congestionMedDRA releases: 2024-11 · check-in free text available
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2021-09-28
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Most pain is in arm where shot was.MedDRA releases: 2024-11 · check-in free text available
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2021-09-29
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: SinusMedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
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2021-10-29
Dose 2 — Moderna
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2021-11-03
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Mobility decreased — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Extreme tiredness could not get upMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Arm still soreMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-12
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2022-01-30
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Fatigue, Feeling hot, Gait disturbance, Headache, Myalgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Severe headache fatigue muscle ache fever symptoms but no fever barely could walk shortness of breathMedDRA releases: 2024-11 · check-in free text available
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2022-01-30
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-01
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2022-02-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-29
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2022-05-06
Dose 3 — Moderna
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2022-05-20
Survey response — day 14, dose 3MedDRA: Asthenia, Breath odour, Fatigue, Headache, Nasopharyngitis, Pain, Paranasal sinus hypersecretion, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Extreme tiredness headache body weakness sinus drainage headache bad breath feverish cold body achesMedDRA releases: 2024-11 · check-in free text available
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2022-05-27
Survey response — day 21, dose 3MedDRA: Chills — Feeling: FairFree text: Really bad chills last night todayMedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
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2022-06-12
Survey response — day 35, dose 3MedDRA: Chills, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chills and excessive tirednessMedDRA releases: 2024-11 · check-in free text available
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2022-06-17
Survey response — day 42, dose 3MedDRA: Muscle twitching, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: My heart I feel it twitching · Healthcare visit (other): EcardioMedDRA releases: 2024-11 · check-in free text available
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2022-06-17
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-21
- 2022-06-21
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2022-08-05
Survey response — 3 months, dose 3MedDRA: Heart rate increased — Feeling: GoodFree text: I feel my heart beat quickly for short periods and stopMedDRA releases: 2024-11 · check-in free text available
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2023-05-08
Survey response — 12 months, dose 3MedDRA: Dyspnoea, Pulmonary congestion, Pyrexia, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-05-08
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-05-09
- 2023-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-22 | Moderna | No |
| 2 | 2021-10-29 | Moderna | No |
| 3 | 2022-05-06 | Moderna | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): soar throat
Systemic reaction (other): Sinus congestion
Systemic reaction (other): Most pain is in arm where shot was.
Release 9 — day 7, dose 1
Systemic reaction (other): Sinus
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme tiredness could not get up
Systemic reaction (other): Arm still sore
Release 11 — 3 months, dose 2
Symptoms: Severe headache fatigue muscle ache fever symptoms but no fever barely could walk shortness of breath
Release 11 — day 14, dose 3
Symptoms: Extreme tiredness headache body weakness sinus drainage headache bad breath feverish cold body aches
Release 11 — day 21, dose 3
Symptoms: Really bad chills last night today
Release 12 — day 35, dose 3
Symptoms: Chills and excessive tiredness
Release 12 — day 42, dose 3
Release 12 — 3 months, dose 3
Symptoms: I feel my heart beat quickly for short periods and stop
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Breath odour | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release