5SM-27661-93081
5 vaccinations
3 coded responses
48 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 503 / IA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-27
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
-
2021-02-15
Survey response — day 21, dose 1MedDRA: Headache — Feeling: FairFree text: I didnt realize that the headaches I had after my first vaccination, were actually from the injection. I had about 3 days of a terrific headache that was unreported (until now). I have had no other symptoms since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
-
2021-03-08
Survey response — day 14, dose 2MedDRA: Odynophagia, Oral pain — Feeling: FairFree text: Mouth sore...red and white ...hurts to swallow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-09
- 2022-01-25
-
2022-04-06
Dose 4 — Moderna
- 2022-04-18
- 2022-04-21
- 2022-04-27
- 2022-05-04
- 2022-05-13
- 2022-05-18
- 2022-07-08
-
2022-09-08
Dose 5 — Moderna
- 2022-10-05
- 2022-10-11
- 2022-10-13
- 2022-10-20
-
2022-12-08
Survey response — 3 months, dose 5MedDRA: Bronchitis, Office visit, Pyrexia, Respiratory syncytial virus infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: RSV that has gone into bronchitis. It's disgusting! Went to Urgent Care and was prescribed prednisone. A week later and I'm running a fever. Need to go back to urgent care! UghMedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-08 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 21, dose 1
Symptoms: I didnt realize that the headaches I had after my first vaccination, were actually from the injection. I had about 3 days of a terrific headache that was unreported (until now). I have had no other symptoms since.
Release 5 — day 14, dose 2
Symptoms: Mouth sore...red and white ...hurts to swallow.
Release 12 — 3 months, dose 5
Symptoms: RSV that has gone into bronchitis. It's disgusting! Went to Urgent Care and was prescribed prednisone. A week later and I'm running a fever. Need to go back to urgent care! Ugh
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 | Bronchitis | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Odynophagia | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oral pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release