5YG-19979-38980
2 vaccinations
7 coded responses
13 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 151 / PA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-03
Registered in v-safe
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2021-02-11
Dose 1 — Moderna
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
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2021-02-18
Health check-in — day 7, dose 1Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-04
Survey response — day 21, dose 1MedDRA: Chills, Fatigue, Headache, Nasopharyngitis, Pyrexia, Tremor — Feeling: PoorFree text: This week I seem to have a cold with symptoms more than my allergies. Not sure if initial report asked for my after shot symptoms. I experienced chills, 99-103 fever, shakes and a headache for most of the overnight, relief and exhaustion next morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 28, dose 1MedDRA: Eye pruritus, Nasal congestion, Pre-existing disease, Rash, Rhinorrhoea — Feeling: FairFree text: Very stuffy:runny nose; rash patches on temples and neck throat area. Itchy eyes. Could be combo of seasonal allergies also.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Dose 2 — Moderna
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-21
Survey response — day 7, dose 2MedDRA: Fatigue, Pruritus, Taste disorder — Feeling: Fair · Fatigue or tirednessFree text: Still have a tasty spot on my temple and itchiness in my neck since first dose. Much more fatigued than normal since shot series began.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 14, dose 2MedDRA: Asthenia, Fatigue — Feeling: FairFree text: The fatigue has increased. My endurance is at about 60% pre-vaccine levels. My stamina is at about 75% pre-vaccine levels.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue like Ive never had before. Just make it through my workday. Cannot do my daily 2.5mioe walk everyday as exhausted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-16
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2021-04-23
Survey response — day 42, dose 2MedDRA: Anxiety, Fatigue — Feeling: FairFree text: Fatigue and anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Survey response — 3 months, dose 2MedDRA: Anxiety, Fatigue, Tooth injury — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: More fatigued. Have a new issue in the past few months since vaccine, dont know if its related : enamel on my teeth is wearing away. Anxiety more than usual because many cases still at work thru AprilMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 21, dose 1
Symptoms: This week I seem to have a cold with symptoms more than my allergies. Not sure if initial report asked for my after shot symptoms. I experienced chills, 99-103 fever, shakes and a headache for most of the overnight, relief and exhaustion next morning cut off by CDC
Release 5 — day 28, dose 1
Symptoms: Very stuffy:runny nose; rash patches on temples and neck throat area. Itchy eyes. Could be combo of seasonal allergies also.
Release 6 — day 7, dose 2
Systemic reaction (other): Still have a tasty spot on my temple and itchiness in my neck since first dose. Much more fatigued than normal since shot series began.
Release 6 — day 14, dose 2
Symptoms: The fatigue has increased. My endurance is at about 60% pre-vaccine levels. My stamina is at about 75% pre-vaccine levels.
Release 6 — day 21, dose 2
Symptoms: Fatigue like Ive never had before. Just make it through my workday. Cannot do my daily 2.5mioe walk everyday as exhausted.
Release 7 — day 42, dose 2
Symptoms: Fatigue and anxiety
Release 9 — 3 months, dose 2
Symptoms: More fatigued. Have a new issue in the past few months since vaccine, dont know if its related : enamel on my teeth is wearing away. Anxiety more than usual because many cases still at work thru April
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Tooth injury | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release