5VJ-14943-55442
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 923 / CA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
-
2021-04-07
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: FairFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
-
2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Emotional disorder — Feeling: Fair · Site: PainFree text: EmotionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
- 2021-05-05
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Glossodynia — Feeling: Good · Site: Pain, Redness, SwellingFree text: Sore tongue. Started just after the shot is mild now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
-
2021-06-02
Survey response — day 28, dose 2MedDRA: Cervical spinal stenosis, Neck pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cervical stenosis. Neck hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Survey response — day 35, dose 2MedDRA: Neck pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Neck pain probably from existing issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-16
Survey response — day 42, dose 2MedDRA: Back pain, Fatigue, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fatigue and more back pain from cervical stenosis and trigger fingerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-16
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
-
2021-08-06
Survey response — 3 months, dose 2MedDRA: Acupuncture, Headache, Pre-existing disease, Rhinorrhoea, Self-medication, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches. I get migraines. But this headache doesnt want to go away. Its in the front. Not all over. Occasionally sneezing with clear runny nose. Took Tylenol, Aleeve and Imitrex. Tried acupressure &heat.If it continues I will go to urgent caMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): No
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Emotional
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sore tongue. Started just after the shot is mild now.
Release 8 — day 28, dose 2
Symptoms: Cervical stenosis. Neck hurts
Release 9 — day 35, dose 2
Symptoms: Neck pain probably from existing issue.
Release 9 — day 42, dose 2
Symptoms: Fatigue and more back pain from cervical stenosis and trigger finger
Release 9 — 3 months, dose 2
Symptoms: Headaches. I get migraines. But this headache doesnt want to go away. Its in the front. Not all over. Occasionally sneezing with clear runny nose. Took Tylenol, Aleeve and Imitrex. Tried acupressure &heat.If it continues I will go to urgent ca
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 | Acupuncture | ✓ | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cervical spinal stenosis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Emotional disorder | ✓ | ✓ | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release