5SS-26347-56132
3 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 624 / IL
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-04
Registered in v-safe
-
2021-05-04
Dose 1 — Moderna
- 2021-05-04
-
2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection site hurts less than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
-
2021-05-18
Survey response — day 14, dose 1MedDRA: Diarrhoea, Fatigue, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: My kids have been sick with a cold and diarrhea and I have developed it too. I have a sore throat, runny nose, diarrhea and fatigue. My kids have not been vaccinated so Im sure its something viral going around.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Dose 2 — Moderna
- 2021-06-01
-
2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-06-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Lymph nodes swollen in armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Swelling in lymph nodes in armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-06-06
- 2021-06-07
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-06-30
- 2021-07-07
-
2021-07-14
Survey response — day 42, dose 2MedDRA: Herpes zoster, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with shingles today. Have had an itchy painful rash for about 2 weeks and didnt know what it was.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
- 2021-08-31
- 2021-11-30
-
2022-01-25
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Moderna | |
| 2 | 2021-06-01 | Moderna | |
| 3 | 2022-01-25 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site hurts less than yesterday
Release 8 — day 14, dose 1
Symptoms: My kids have been sick with a cold and diarrhea and I have developed it too. I have a sore throat, runny nose, diarrhea and fatigue. My kids have not been vaccinated so Im sure its something viral going around.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph nodes swollen in armpit
Systemic reaction (other): Swelling in lymph nodes in armpit
Release 9 — day 42, dose 2
Symptoms: Diagnosed with shingles today. Have had an itchy painful rash for about 2 weeks and didnt know what it was.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release