5SV-17842-95392
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 875 / NM
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: I have been really cold, not chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I had muscle cramping beginning at 2 AM, it lasted about 6 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
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2021-03-17
Survey response — day 14, dose 1MedDRA: Dry skin, Incision site rash, Injection site rash, Pre-existing disease, Rash, Rash pruritic, Skin warm, Surgery — Feeling: GoodFree text: I developed a rash at the injection site (10 days after injection) that spread into a nearby (healed) surgical incision that runs down my arm. It was hot for the first 2 days, then rough and itchy. That is getting better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
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2021-03-30
Dose 2 — Moderna
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain, Pain, Pain of skin, Thirst — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: My skin is sore everywhere, including my scalp. Very thirsty even though I've been hydrating since yesterday, shooting pains, sore breastsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Dry eye, Dry mouth — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Still have dry mouth and eyes, regardless of how much I hydrate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have been really cold, not chills
Systemic reaction (other): I had muscle cramping beginning at 2 AM, it lasted about 6 hours
Release 5 — day 14, dose 1
Symptoms: I developed a rash at the injection site (10 days after injection) that spread into a nearby (healed) surgical incision that runs down my arm. It was hot for the first 2 days, then rough and itchy. That is getting better now.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My skin is sore everywhere, including my scalp. Very thirsty even though I've been hydrating since yesterday, shooting pains, sore breasts
Systemic reaction (other): Still have dry mouth and eyes, regardless of how much I hydrate.
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 | Dry skin | ✓ | ✓ | ✓ |
| SD | Incision site rash | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Surgery | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release