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5SG-17209-01516

3 vaccinations 5 coded responses 14 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
786 / TX
Registered
2021-05-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-14
    Dose 1 — Moderna
  2. 2021-05-03
    Registered in v-safe
  3. 2021-05-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-05-13
    Dose 2 — Moderna
  5. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea, Abdominal pain
    Free text: Loss of appetite yesterday has returned today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: I failed to mention I was quite sore in the armpit of the injection site arm for the first 2 days, on the pain scale around a 6. That soreness has faded to a 2.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness, Diarrhea
    Adult check-in
  11. 2021-05-20
    Survey response — day 7, dose 2
    MedDRA: Abdominal pain, Nausea, Pain — Feeling: Poor · Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: I only feel the nausea when the abdominal cramps are at the highest level of pain. Which early this morning seemed like they were at a 10. :(
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-01-16
    Dose 3 — Moderna
  17. 2022-07-17
    Survey response — 6 months, dose 3
    MedDRA: Cough, Dizziness, Fatigue, Malaise, Nasopharyngitis, Paranasal sinus discomfort, Pyrexia, SARS-CoV-2 test positive, Sneezing, Unevaluable event — 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
    Free text: I tested positive for covid on June 20 and was sick for 16 days. The symtoms were mostly like a cold, staring with a 101 fever that only lasted a day, then with sinus pressure & se, sneezing, coughing, heavy fatigue & dizziness that lasted t duration
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-07-17
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  19. 2022-07-18
  20. 2023-01-16
    Survey response — 12 months, dose 3
    MedDRA: Breast disorder, Office visit — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Moderna
22021-05-13Moderna
32022-01-16Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Loss of appetite yesterday has returned today.

2021-05-16

Systemic reaction (other): I failed to mention I was quite sore in the armpit of the injection site arm for the first 2 days, on the pain scale around a 6. That soreness has faded to a 2.

Release 8 — day 7, dose 2

2021-05-20

Systemic reaction (other): I only feel the nausea when the abdominal cramps are at the highest level of pain. Which early this morning seemed like they were at a 10. :(

Release 12 — 6 months, dose 3

2022-07-17

Symptoms: I tested positive for covid on June 20 and was sick for 16 days. The symtoms were mostly like a cold, staring with a 101 fever that only lasted a day, then with sinus pressure & se, sneezing, coughing, heavy fatigue & dizziness that lasted t duration cut off by CDC

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

FieldPreferred term2021-092023-042024-11
SDBreast disorder · · ✓
SDCough · · ✓
SDDizziness · · ✓
SDFatigue · · ✓
SDMalaise · · ✓
SDNasopharyngitis · · ✓
SDOffice visit · · ✓
SDParanasal sinus discomfort · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test positive · · ✓
SDSneezing · · ✓
SDUnevaluable event · · ✓
SROAbdominal pain ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release