5ZJ-33127-66515
4 vaccinations
5 coded responses
27 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 120 / NY
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 2 — Moderna
-
2021-02-03
Survey response — day 0, dose 2MedDRA: Hot flush, Immediate post-injection reaction, Rhinorrhoea — Feeling: GoodFree text: I had about 90 minites of a mild runny nose and more of a "prolonged hot flash" type sensation starting 20 or so min after the vaccination that both stopped abruptly at tje same time No other issues since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
-
2021-02-24
Survey response — day 21, dose 2MedDRA: Fatigue, Herpes zoster, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Shingles R temple with lesion noted 2/22 (have had several times over 15 years). Increased fatigue the week prior. Antiviral prescribed and started.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-03
-
2021-03-10
Survey response — day 35, dose 2MedDRA: Vitamin D deficiency — Feeling: GoodFree text: New diagnosis Vit.D deficiency found on rputone labwork.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-05-05
- 2021-08-04
- 2021-08-23
-
2021-11-13
Dose 3 — Moderna
- 2022-02-03
-
2022-09-16
Dose 4 — Moderna
- 2022-09-20
- 2022-09-21
-
2022-09-22
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Aches in same arm/shoulder as injection.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-23
-
2022-10-02
Survey response — day 14, dose 4MedDRA: Herpes zoster — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Shingles outbreakMedDRA releases: 2024-11 · check-in free text available
-
2022-10-02
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-03
- 2022-10-03
- 2022-10-07
- 2022-10-16
- 2022-10-21
- 2022-10-30
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-09-16 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): I had about 90 minites of a mild runny nose and more of a "prolonged hot flash" type sensation starting 20 or so min after the vaccination that both stopped abruptly at tje same time No other issues since.
Release 4 — day 21, dose 2
Symptoms: Shingles R temple with lesion noted 2/22 (have had several times over 15 years). Increased fatigue the week prior. Antiviral prescribed and started.
Release 5 — day 35, dose 2
Symptoms: New diagnosis Vit.D deficiency found on rputone labwork.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Aches in same arm/shoulder as injection.
Release 12 — day 14, dose 4
Symptoms: Shingles outbreak
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vitamin D deficiency | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release