5SM-14083-59875
3 vaccinations
6 coded responses
36 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 852 / AZ
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Moderna
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Night sweats, Tinnitus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Louder tinnitus, lymph glands in neck slightly swollen, night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
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
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: I forgot to mention something that also happened with the first shot, too: The skin near the injection site is hot to the touch, while skin on the rest of my body feels normal and cool.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
-
2021-09-15
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tiredness and headache after receiving influenza vaccine on Monday.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Dose 3 — Moderna
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Induration, Injection site pain, Pyrexia — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Firm lymph nodes in neck. Today's symptoms might not be from vaccine. On 11/13/21, I had 102 degree fever, chills, fatigue & mild soreness at injection site. It was better the next day.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 21, dose 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Mild congestion that I think is just regular allergies.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
-
2022-05-15
Survey response — 6 months, dose 3MedDRA: Pre-existing disease, Self-medication — Feeling: GoodFree text: I had allergies badly this year. Benadryl fixed it.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Louder tinnitus, lymph glands in neck slightly swollen, night sweats
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I forgot to mention something that also happened with the first shot, too: The skin near the injection site is hot to the touch, while skin on the rest of my body feels normal and cool.
Release 9 — 6 months, dose 2
Symptoms: Tiredness and headache after receiving influenza vaccine on Monday.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Firm lymph nodes in neck. Today's symptoms might not be from vaccine. On 11/13/21, I had 102 degree fever, chills, fatigue & mild soreness at injection site. It was better the next day.
Release 10 — day 21, dose 3
Symptoms: Mild congestion that I think is just regular allergies.
Release 11 — 6 months, dose 3
Symptoms: I had allergies badly this year. Benadryl fixed it.
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 | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release