5U2-30057-34500
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 233 / VA
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-30
Dose 1 — Moderna
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2021-01-11
Registered in v-safe
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2021-01-11
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Fatigue and headachesHad headache since day 1 and fevers x 10 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-21
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2021-01-27
Dose 2 — Moderna
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2021-01-27
Health check-in — day 0, dose 2Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Mobility decreased, Myalgia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Dizzy and deltoid muscle pain moving up and down preventing mobility of left arm use at times limitedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Mobility decreased, Pain, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Radiating pain shooting down left arm at times from injection site and unable to raise left arm limited romMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Musculoskeletal stiffness, Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Neck and shoulder stiffness ; chest heavy not pain or tight; blurred visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Neck and shoulder stiff and swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Health check-in — day 7, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-28
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Dizzy
Release 1 — day 14, dose 1
Symptoms: Fatigue and headachesHad headache since day 1 and fevers x 10 days
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy and deltoid muscle pain moving up and down preventing mobility of left arm use at times limited
Systemic reaction (other): Radiating pain shooting down left arm at times from injection site and unable to raise left arm limited rom
Systemic reaction (other): Neck and shoulder stiffness ; chest heavy not pain or tight; blurred vision
Systemic reaction (other): Neck and shoulder stiff and swollen lymph nodes
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 | Headache | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release