5T4-18208-19143
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 301 / GA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
-
2021-01-23
Survey response — day 7, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Pain in right armpit. Got vaccine in right arm. Pain started yesterday morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-15
Dose 2 — Moderna
-
2021-02-15
Survey response — day 0, dose 2MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Warm at the site of the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Presyncope — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Felt like I was going to pass out this morning. Laid down in the floor for 30 mins and felt better. Hasn't happened again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Blood ketone body, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My blood glucose levels are high. Had ketones in urine this morning. None now. Talking with my doctor about blood glucose levels. · Healthcare visit (other): Talked to the nurse over the phone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
- 2021-02-19
- 2021-02-21
- 2021-02-22
- 2021-03-01
-
2021-03-08
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-08-05
- 2021-08-17
-
2021-09-10
Dose 3 — Moderna
- 2021-10-26
- 2021-12-12
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-09-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Pain in right armpit. Got vaccine in right arm. Pain started yesterday morning.
Release 4 — day 0, dose 2
Systemic reaction (other): Warm at the site of the injection
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Felt like I was going to pass out this morning. Laid down in the floor for 30 mins and felt better. Hasn't happened again.
Systemic reaction (other): My blood glucose levels are high. Had ketones in urine this morning. None now. Talking with my doctor about blood glucose levels.
Healthcare visit (other): Talked to the nurse over the phone.
Release 5 — day 21, dose 2
Symptoms: Headaches
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Blood ketone body | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Presyncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release