5ZX-72222-53167
4 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 914 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: GoodFree text: General body aches, but nothing unusualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: a little more tired than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache — Feeling: GoodFree text: Still a bit tired & borderline headach. Mild symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-02-28
Dose 2 — Moderna
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-14
Survey response — day 14, dose 2MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: GoodFree text: Fingers on both hands have been stiff & a bit sore for about a week or two. I didn't think it was related to the vaccine so I didn't say anything, also been colder lately.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-28
- 2021-04-04
-
2021-04-11
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-31
-
2021-09-03
Dose 3 — Moderna
- 2021-12-03
-
2022-03-04
Survey response — 6 months, dose 3MedDRA: Anaemia, Condition aggravated, Fatigue, Loss of personal independence in daily activities, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Anemia & fatigue . I also have cervical & lumbar issues that have flared up & is making normal daily activities difficultMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-08
-
2022-03-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-20
Dose 4 — Moderna
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-09-03 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): General body aches, but nothing unusual
Systemic reaction (other): a little more tired than yesterday.
Systemic reaction (other): Still a bit tired & borderline headach. Mild symptoms
Release 5 — day 14, dose 2
Symptoms: Fingers on both hands have been stiff & a bit sore for about a week or two. I didn't think it was related to the vaccine so I didn't say anything, also been colder lately.
Release 7 — day 42, dose 2
Symptoms: Headache
Release 11 — 6 months, dose 3
Symptoms: Anemia & fatigue . I also have cervical & lumbar issues that have flared up & is making normal daily activities difficult
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 | Anaemia | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release