5YE-25809-79826
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 904 / CA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-04
-
2021-02-11
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Rash started on Feb 4 at site of inoculation and is still there. There was an interruption in receiving texts from you so I could not report it until now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Middle insomnia — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: Woke at 3am felt intense enormous heat throughout my whole body lasted over 30 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia, Somnolence — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slept 12:30am- 8:30 am . 10:am-2pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Health check-in — day 7, dose 2Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-11
Survey response — day 14, dose 2MedDRA: Asthenia, Depression, Memory impairment — Feeling: FairFree text: Forgettfslness depression no energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-26
Survey response — day 28, dose 2MedDRA: Depression, Pre-existing disease — Feeling: FairFree text: I have been treated for depression in the past but not in the last 3 years. I was suddenly hit with it again after second Covid shot. It is slowly getting better,I hope, but I wanted to note it for your study.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-08
- 2021-05-27
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Depression — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Depression · Healthcare visit (other): For depressionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-15
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — day 14, dose 1
Symptoms: Rash started on Feb 4 at site of inoculation and is still there. There was an interruption in receiving texts from you so I could not report it until now.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Woke at 3am felt intense enormous heat throughout my whole body lasted over 30 minutes
Systemic reaction (other): Slept 12:30am- 8:30 am . 10:am-2pm
Release 5 — day 14, dose 2
Symptoms: Forgettfslness depression no energy
Release 6 — day 28, dose 2
Symptoms: I have been treated for depression in the past but not in the last 3 years. I was suddenly hit with it again after second Covid shot. It is slowly getting better,I hope, but I wanted to note it for your study.
Release 9 — 6 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Depression | ✓ | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ○ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release