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27H-43891-65660

2 vaccinations 3 coded responses 21 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
785 / TX
Registered
2021-03-28
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-03-28
    Registered in v-safe
  3. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Herpes zoster, Neuralgia, Pain — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Got the shingle vaccine a little before covid lockdown. Second vaccine ... Could not get..until Walgreens informed me they could finally give me my 2nd vaccine. I had a shingle attack today. Inside my back... nerve ending pain shoots already up my back to my jaw line, back teeth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-04-08
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-04-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-21
    Dose 2 — Moderna
  10. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text:
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Headache
    Adult check-in
  13. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Fever · Chills, Headache
    Adult check-in
  14. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-28
    Survey response — day 7, dose 2
    MedDRA: Fatigue, Headache — Feeling: Good · Site: Itching · Headache, Fatigue or tiredness
    Free text: Light headache..comes and goes. Tired the past two days. Have no idea if it is just allergies or from the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-04-21
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-21Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Got the shingle vaccine a little before covid lockdown. Second vaccine ... Could not get..until Walgreens informed me they could finally give me my 2nd vaccine. I had a shingle attack today. Inside my back... nerve ending pain shoots already up my back to my jaw line, back teeth.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Light headache..comes and goes. Tired the past two days. Have no idea if it is just allergies or from the injection.

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

FieldPreferred term2021-092023-042024-11
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHerpes zoster ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release