5T9-30826-02622
4 vaccinations
4 coded responses
55 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 941 / CA
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8ML-16528-93949
Child or adolescent in my care · Female · 2021-11-06
RHF-13388-39557
Child or adolescent in my care · Female · 2021-11-06
Timeline
-
2021-01-31
Registered in v-safe
-
2021-01-31
Dose 1 — Moderna
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Contusion — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Easily bruised - large severe bruise appeared on contralatetal hand approximately 75 minutes post-vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-14
Survey response — day 14, dose 1MedDRA: Fatigue, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: New fatigue lasting multiple days and coincident swollen lymph nodes in neck on days 12-14 post-vaccine. No other illness noted, no known COVID exposures. No illness in any family members. Symptoms Improved today - lasted 2 days total.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-28
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-14
-
2021-05-31
Survey response — 3 months, dose 2MedDRA: Infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Meibomian gland infection (lower eyelid) requiring antibiotics.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-31
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
-
2021-11-24
Dose 3 — Moderna
- 2021-11-24
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea, Abdominal painAdult check-in
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-01
- 2021-12-10
- 2021-12-15
- 2021-12-22
- 2021-12-30
- 2022-01-05
- 2022-02-23
- 2022-05-04
- 2022-05-26
-
2022-10-28
Dose 4 — Moderna
-
2022-10-28
Survey response — day 0, dose 4MedDRA: Headache, Malaise — Feeling: FairFree text: Still having PASC symptoms and post herpetic headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-10-29
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-03
- 2022-11-04
- 2022-11-11
- 2022-11-19
- 2022-11-27
- 2022-12-04
- 2022-12-09
- 2023-01-29
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-10-28 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Easily bruised - large severe bruise appeared on contralatetal hand approximately 75 minutes post-vaccine.
Release 4 — day 14, dose 1
Symptoms: New fatigue lasting multiple days and coincident swollen lymph nodes in neck on days 12-14 post-vaccine. No other illness noted, no known COVID exposures. No illness in any family members. Symptoms Improved today - lasted 2 days total.
Release 8 — 3 months, dose 2
Symptoms: Meibomian gland infection (lower eyelid) requiring antibiotics.
Release 12 — day 0, dose 4
Systemic reaction (other): Still having PASC symptoms and post herpetic headache
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Infection | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Meibomian gland discharge | ○ | ○ | ○ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release