22X-12755-91400
5 vaccinations
10 coded responses
68 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 750 / TX
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
-
2021-03-22
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Vision blurred — Feeling: Good · Site: Pain · Fever · HeadacheFree text: Slightly blurry visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-04-05
Survey response — day 14, dose 1MedDRA: Lethargy, Malaise, Nausea — Feeling: GoodFree text: About day 8-9 or 9-10, I felt lethargic and slightly sick/nausea. It did pass and you was fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-04-19
Dose 2 — Moderna
- 2021-04-19
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety — Feeling: Fair · Fatigue or tirednessFree text: Anxiety since the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: GoodFree text: Stuffy head, but may be seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
-
2021-05-17
Survey response — day 28, dose 2MedDRA: Anxiety, Fatigue — Feeling: GoodFree text: Anxiety went up and felt tired. May or may not be related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-24
Survey response — day 35, dose 2MedDRA: Anxiety — Feeling: GoodFree text: High anxiety. May or may not be associated with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
- 2021-07-19
- 2021-10-18
-
2021-12-02
Dose 3 — Pfizer-BioNTech
- 2021-12-02
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-03-03
-
2022-05-17
Dose 4 — Pfizer-BioNTech
- 2022-05-17
- 2022-05-18
- 2022-05-19
-
2022-05-20
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: 2 nights ago had been insomnia that I forgot about.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-15
- 2022-06-21
- 2022-06-28
-
2022-08-16
Survey response — 3 months, dose 4MedDRA: Hepatic enzyme increased — Feeling: GoodFree text: Did blood work that showed increased liver counts. Sonogram showed it unremarkable. May not be related to the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Dose 5 — Pfizer-BioNTech
- 2022-09-22
-
2022-09-23
Survey response — days 1–6 daily, dose 5MedDRA: Hyperhidrosis, Night sweats, Sleep disorder — Feeling: GoodFree text: Night sweat- woke up in the night in a puddle of sweat unlike anything I've experienced. Not sure if a fever had been present since I was sleeping. I've felt fine after that.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
-
2023-03-23
Survey response — 6 months, dose 5MedDRA: Condition aggravated, Pre-existing disease, Stress, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-23
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-12-02 | Pfizer-BioNTech | No |
| 4 | 2022-05-17 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly blurry vision
Release 6 — day 14, dose 1
Symptoms: About day 8-9 or 9-10, I felt lethargic and slightly sick/nausea. It did pass and you was fine.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Anxiety since the vaccine.
Systemic reaction (other): Stuffy head, but may be seasonal allergies.
Release 8 — day 28, dose 2
Symptoms: Anxiety went up and felt tired. May or may not be related to the vaccine.
Release 8 — day 35, dose 2
Symptoms: High anxiety. May or may not be associated with the vaccine.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): 2 nights ago had been insomnia that I forgot about.
Release 12 — 3 months, dose 4
Symptoms: Did blood work that showed increased liver counts. Sonogram showed it unremarkable. May not be related to the vaccine.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Night sweat- woke up in the night in a puddle of sweat unlike anything I've experienced. Not sure if a fever had been present since I was sleeping. I've felt fine after that.
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 | Telemedicine | · | · | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hepatic enzyme increased | · | · | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Nasal congestion | ○ | ✓ | ○ |
| SRO | Night sweats | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release