5SW-13332-63505
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 917 / CA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-04-05
Registered in v-safe
- 2021-04-05
- 2021-04-12
-
2021-04-19
Survey response — day 21, dose 1MedDRA: Ear disorder, Ear pain — Feeling: FairFree text: Two weeks ago started having ear aches- left ear same as shot. Now the ear seems bloated inside.... not sure if related to vaccine but inset was after injection and symptoms have generally worsened (persisted).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
-
2021-05-10
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Extreme fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Survey response — day 21, dose 2MedDRA: Fatigue, Myalgia, Pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Arm pain/ seems odd this far past injection. Muscle pain too... both arms and overall body. And fatigue persists.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-31
- 2021-06-07
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2021-07-26
Survey response — 3 months, dose 2MedDRA: Fatigue, Feeling abnormal, Hand deformity, Limb deformity, Memory impairment, Muscle spasms, Myalgia, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme exhaustion no explanation for it. Sleeping 14 hours and still dog tired during day. Memory fog too. Just really not myself at all. Muscle aches and cramps that distort my arms, hands. Unable to hold items without cramps.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-25
-
2021-12-03
Dose 3 — Moderna
- 2022-04-26
- 2022-06-03
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
Free text
Release 7 — day 21, dose 1
Symptoms: Two weeks ago started having ear aches- left ear same as shot. Now the ear seems bloated inside.... not sure if related to vaccine but inset was after injection and symptoms have generally worsened (persisted).
Release 8 — day 14, dose 2
Symptoms: Extreme fatigue.
Release 8 — day 21, dose 2
Symptoms: Arm pain/ seems odd this far past injection. Muscle pain too... both arms and overall body. And fatigue persists.
Release 9 — 3 months, dose 2
Symptoms: Extreme exhaustion no explanation for it. Sleeping 14 hours and still dog tired during day. Memory fog too. Just really not myself at all. Muscle aches and cramps that distort my arms, hands. Unable to hold items without cramps.
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 | Ear disorder | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | · | ✓ |
| SD | Hand deformity | ✓ | · | ✓ |
| SD | Limb deformity | ✓ | · | ✓ |
| SD | Memory impairment | ✓ | · | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release