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29J-13570-18050

1 vaccination 8 coded responses 11 check-ins 8 free-text entries 4 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
758 / TX
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-06
    Survey response — day 0, dose 1
    MedDRA: Balance disorder, Feeling abnormal, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Tingling, off balance, fuzzy headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Wheezing — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Coughing, wheezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-07
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-01-08
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Wheezing — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Coughing wheezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-09
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  10. 2021-01-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-27
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Cough, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Severe joint pain. Affecting hips and knees. I dont ever have joint issues. Nausea continues constantly and the coughing wont go away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-03
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-02-10
    Survey response — day 35, dose 1
    MedDRA: Abdominal pain, Arthralgia, Decreased appetite, Diarrhoea, Malaise — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Severe abdominal pain and increasing diarrhea. Loss of appetite. Joint pain is worsening also. In general I just feel a malaise and bad all over. Im unable to sleep more than 1-2 hours at a time due to pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-17
    Survey response — day 42, dose 1
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Joint pain worsening
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-07-07
    Survey response — 6 months, dose 1
    MedDRA: Hypoaesthesia, Peripheral swelling — Feeling: Fair
    Free text: Leg and feet numbness and swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2022-01-06
    Survey response — 12 months, dose 1
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had Covid
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-06
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2022-01-07

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna

Call center

4 call center cases

1 unsuccessful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): Tingling, off balance, fuzzy headed

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Coughing, wheezing

2021-01-09

Systemic reaction (other): Coughing wheezing

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Severe joint pain. Affecting hips and knees. I dont ever have joint issues. Nausea continues constantly and the coughing wont go away

Release 4 — day 35, dose 1

2021-02-10

Symptoms: Severe abdominal pain and increasing diarrhea. Loss of appetite. Joint pain is worsening also. In general I just feel a malaise and bad all over. Im unable to sleep more than 1-2 hours at a time due to pain

Release 4 — day 42, dose 1

2021-02-17

Symptoms: Joint pain worsening

Release 9 — 6 months, dose 1

2021-07-07

Symptoms: Leg and feet numbness and swelling

Release 10 — 12 months, dose 1

2022-01-06

Symptoms: I had Covid

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
SDAbdominal pain ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDecreased appetite ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SROBalance disorder ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

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