5SQ-13477-42030
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 773 / TX
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Good · Site: PainFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree text: Occasional cough episodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-05
Survey response — day 7, dose 1MedDRA: Cough — Feeling: GoodFree text: Still have cough, mostly dryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Somnolence — Feeling: Good · Site: Pain · HeadacheFree text: Slight headache earlier today, fatigue yesterday for a few hours into yesterday night. I had to take a nap yesterday afternoon but the headache did not cause any changes to my routineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-18
- 2021-02-23
- 2021-03-02
- 2021-03-10
- 2021-04-27
- 2021-07-27
-
2022-01-26
Survey response — 12 months, dose 2MedDRA: Cardiac disorder, Dyspnoea exertional, Fatigue, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Just had sleep test but haven't gotten results. Some fatigue which may have to do with my heart issues but no issues that I think are in any way related to vaccine or booster. Some shortness of breath on exertion. · Healthcare visit (other): Doctor office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Occasional cough episode
Release 1 — day 7, dose 1
Systemic reaction (other): Still have cough, mostly dry
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Slight headache earlier today, fatigue yesterday for a few hours into yesterday night. I had to take a nap yesterday afternoon but the headache did not cause any changes to my routine
Release 11 — 12 months, dose 2
Symptoms: Just had sleep test but haven't gotten results. Some fatigue which may have to do with my heart issues but no issues that I think are in any way related to vaccine or booster. Some shortness of breath on exertion.
Healthcare visit (other): Doctor office visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release