5YL-18513-77184
3 vaccinations
6 coded responses
38 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 530 / WI
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Moderna
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
-
2021-05-05
Survey response — day 14, dose 1MedDRA: Abdominal pain, Groin pain, Middle insomnia, Sleep disorder — Feeling: FairFree text: New - last couple days I have been waking in the night with lower abdominal/ groin area pain. Its annoying. After I get up in the morning and start my day it goes away and I do not notice it during the day. Then it returns in the middle of nighMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
-
2021-05-14
Dose 2 — Moderna
- 2021-05-14
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Abdominal painAdult check-in
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Abdominal painAdult check-in
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Abdominal painAdult check-in
- 2021-05-21
- 2021-05-28
- 2021-06-05
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
- 2021-11-13
-
2022-02-12
Dose 3 — Moderna
- 2022-02-12
- 2022-02-13
-
2022-02-14
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Armpit area feels a little swollen and it's soreMedDRA releases: 2024-11 · check-in free text available
-
2022-02-15
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Discomfort, Oedema peripheral — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Still feel swelling in my armpit on same side as injection. It is sore and uncomfortable.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-16
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: GoodFree text: Still feels like some swelling in my armpit on side I got the shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-17
- 2022-02-18
- 2022-02-19
- 2022-02-26
-
2022-03-05
Survey response — day 21, dose 3MedDRA: Injection site erythema, Injection site swelling — Feeling: GoodFree text: Reporting that the injection site became a raised red bump. I expected it to go away but it has not yet.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-12
- 2022-03-19
- 2022-03-26
-
2022-05-14
Survey response — 3 months, dose 3MedDRA: Influenza, Nasopharyngitis, Oropharyngeal pain — 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 · Outpatient clinic or urgent care clinic visitFree text: Severe sore throat, severe cold symptoms, mild flu symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-17
-
2022-05-17
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2022-02-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 8 — day 14, dose 1
Symptoms: New - last couple days I have been waking in the night with lower abdominal/ groin area pain. Its annoying. After I get up in the morning and start my day it goes away and I do not notice it during the day. Then it returns in the middle of nigh
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Armpit area feels a little swollen and it's sore
Systemic reaction (other): Still feel swelling in my armpit on same side as injection. It is sore and uncomfortable.
Systemic reaction (other): Still feels like some swelling in my armpit on side I got the shot.
Release 11 — day 21, dose 3
Symptoms: Reporting that the injection site became a raised red bump. I expected it to go away but it has not yet.
Release 11 — 3 months, dose 3
Symptoms: Severe sore throat, severe cold symptoms, mild flu symptoms
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Groin pain | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Middle insomnia | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release