5Z3-25834-38244
2 vaccinations
5 coded responses
20 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 462 / IN
- Registered
- 2021-05-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-20
Registered in v-safe
-
2021-05-20
Dose 1 — Moderna
-
2021-05-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-05-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-24
-
2021-05-25
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: GoodFree text: Injection arm keeps having numb episodes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
-
2021-06-18
Dose 2 — Moderna
-
2021-06-24
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Injection site hypoaesthesia, Injection site pain, Injection site pruritus, Pyrexia — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Day immediately after vaccine ran fever of 101, severe joint pains and headache. Pain and headache lasted about 36 hours after fever broke. Injection site has remained sore, itchy and periodically numb for the last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-25
- 2021-07-02
- 2021-07-09
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2021-07-16
Survey response — day 28, dose 2MedDRA: Cluster headache, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cluster headache. Doubt it has anything to do with vaccine - prone to migraine already.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-23
- 2021-07-30
-
2021-09-17
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Acute gallbladder attack. Fourth in three years. PCP has referred me for surgery evaluation later this month. · Healthcare visit (other): In person visit with PCPMedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-21
- 2021-12-17
-
2022-06-19
Survey response — 12 months, dose 2MedDRA: Dyspnoea, Fatigue, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Occasional heart racing and shortness of breath. Very fatigued.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-20 | Moderna | |
| 2 | 2021-06-18 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Injection arm keeps having numb episodes.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Day immediately after vaccine ran fever of 101, severe joint pains and headache. Pain and headache lasted about 36 hours after fever broke. Injection site has remained sore, itchy and periodically numb for the last week.
Release 9 — day 28, dose 2
Symptoms: Cluster headache. Doubt it has anything to do with vaccine - prone to migraine already.
Release 9 — 3 months, dose 2
Symptoms: Acute gallbladder attack. Fourth in three years. PCP has referred me for surgery evaluation later this month.
Healthcare visit (other): In person visit with PCP
Release 12 — 12 months, dose 2
Symptoms: Occasional heart racing and shortness of breath. Very fatigued.
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 | Office visit | · | · | ✓ |
| SD | Cluster headache | ✓ | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release