5X2-28105-45860
2 vaccinations
6 coded responses
15 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 940 / CA
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-02-22
Registered in v-safe
-
2021-02-22
Dose 2 — Moderna
-
2021-02-22
Survey response — day 0, dose 2MedDRA: Lymph node pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sore lymph node on injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain, Polymenorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat. Period stopped early.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fuzzy brain!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal distension — Feeling: GoodFree text: BloatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 7, dose 2MedDRA: Feeling abnormal, Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Brain fog. Lingering sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
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2022-02-24
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-02-24
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-24 | Unsuccessful |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Sore lymph node on injection arm
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat. Period stopped early.
Systemic reaction (other): Fuzzy brain!!
Systemic reaction (other): Bloating
Release 4 — day 7, dose 2
Systemic reaction (other): Brain fog. Lingering sore throat.
Release 11 — 12 months, dose 2
Symptoms: Covid
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 | COVID-19 | · | · | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Polymenorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release