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
-
2021-04-14
Dose 1 — Moderna
-
2021-05-03
Registered in v-safe
- 2021-05-03
-
2021-05-13
Dose 2 — Moderna
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
-
2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea, Abdominal painFree text: Loss of appetite yesterday has returned today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree 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
- 2021-05-17
- 2021-05-18
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-05-20
Survey response — day 7, dose 2MedDRA: Abdominal pain, Nausea, Pain — Feeling: Poor · Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree 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
- 2021-05-27
- 2021-06-03
- 2021-06-13
- 2021-11-14
-
2022-01-16
Dose 3 — Moderna
-
2022-07-17
Survey response — 6 months, dose 3MedDRA: 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 consultationFree 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 durationMedDRA releases: 2024-11 · check-in free text available
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2022-07-17
Report sent to call center — 6 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)
- 2022-07-18
-
2023-01-16
Survey response — 12 months, dose 3MedDRA: Breast disorder, Office visit — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2022-01-16 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite yesterday has returned today.
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Breast disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release