5S2-33275-15486
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 61-65
- ZIP prefix
- 928 / CA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
-
2021-01-18
Survey response — day 0, dose 1MedDRA: Headache, Neck pain — Feeling: Good · HeadacheFree text: Very mild headache/neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-13
Dose 2 — Moderna
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Lymphadenopathy, Musculoskeletal pain, Peripheral swelling, Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Swallon lymph nodes under left arm into left breast , swallon upper arm, ache shoulder blade, rash at site and posterior arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Limb discomfort — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Remain with left shoulder aches and underarm discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-05-15
Survey response — 3 months, dose 2MedDRA: Fatigue, Pre-existing disease — Feeling: GoodFree text: Little more fatigue than I used to haveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-14
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2022-02-13
Survey response — 12 months, dose 2MedDRA: Fatigue, Headache, Malaise, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, ears, congested, fever 100-101.intermit headache, fatigue. Spouse sick last week had 2 neg covid test now im sick both had 3 mod . Vac and flu vac.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Very mild headache/neck
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swallon lymph nodes under left arm into left breast , swallon upper arm, ache shoulder blade, rash at site and posterior arm.
Systemic reaction (other): Remain with left shoulder aches and underarm discomfort
Release 8 — 3 months, dose 2
Symptoms: Little more fatigue than I used to have
Release 11 — 12 months, dose 2
Symptoms: Sore throat, ears, congested, fever 100-101.intermit headache, fatigue. Spouse sick last week had 2 neg covid test now im sick both had 3 mod . Vac and flu vac.
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 | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release