5XL-28905-21657
2 vaccinations
1 coded response
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 860 / AZ
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
- 2020-12-31
-
2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Diarrhoea, Fatigue, Injection site pain, Pain in extremity — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Vaccine site became increasingly very sore 1 followed by noted symptoms as above rather suddenly over 1-3 hour time. I noticed an upset stomach for 1/2 day with 1x diarrhea yesterday which think was tied possibly to the vaccine. I feel tired today, arm soreness is very mild now and I Exocet by tomorrow I'll feel back to normal as things are progressing the way they are. I was intensely more I'll line this with one of the Shingrix vaccines in fact maybe a little worse. I'm a vaccination nurse so understand the side effects and not alarmed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-01
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-03
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
- 2021-02-21
- 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 — days 1–6 daily, dose 1
Systemic reaction (other): Vaccine site became increasingly very sore 1 followed by noted symptoms as above rather suddenly over 1-3 hour time. I noticed an upset stomach for 1/2 day with 1x diarrhea yesterday which think was tied possibly to the vaccine. I feel tired today, arm soreness is very mild now and I Exocet by tomorrow I'll feel back to normal as things are progressing the way they are. I was intensely more I'll line this with one of the Shingrix vaccines in fact maybe a little worse. I'm a vaccination nurse so understand the side effects and not alarmed.
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 |
|---|---|---|---|---|
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release