2FB-18562-55785
4 vaccinations
6 coded responses
44 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — day 42, dose 2MedDRA: Dry eye, Dry mouth — Feeling: GoodFree text: In hindsight extreme dry mouth and dry eyes for about a week around week threeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-08-12
-
2021-11-22
Dose 3 — Moderna
- 2021-11-22
- 2021-11-23
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Site: PainFree text: Last night had fatigue but much better todayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Dry mouth, Vaccine positive rechallenge — Feeling: GoodFree text: I've had dry mouth for three days, I had this after each of my initial doses as well but not sure I reported, absolutely think it is related. Should go away in a week or so.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-28
Survey response — days 1–6 daily, dose 3MedDRA: Dry mouth — Feeling: GoodFree text: Still a little bit of dry mouthMedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Survey response — day 7, dose 3MedDRA: Dry mouth — Feeling: Fair · HeadacheFree text: Still some dry mouthMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
- 2022-05-23
-
2022-07-08
Dose 4 — Moderna
- 2022-07-08
-
2022-07-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-15
- 2022-07-22
- 2022-07-29
-
2022-08-05
Survey response — day 28, dose 4MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: FairFree text: Sore throat, having allergies will test in a day or twoMedDRA releases: 2024-11 · check-in free text available
- 2022-08-12
- 2022-08-19
- 2022-10-07
- 2023-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-07-08 | Moderna | No |
Free text
Release 6 — day 42, dose 2
Symptoms: In hindsight extreme dry mouth and dry eyes for about a week around week three
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Last night had fatigue but much better today
Systemic reaction (other): I've had dry mouth for three days, I had this after each of my initial doses as well but not sure I reported, absolutely think it is related. Should go away in a week or so.
Systemic reaction (other): Still a little bit of dry mouth
Release 10 — day 7, dose 3
Systemic reaction (other): Still some dry mouth
Release 12 — day 28, dose 4
Symptoms: Sore throat, having allergies will test in a day or two
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 | Dry eye | ✓ | ✓ | ✓ |
| SD | Dry mouth | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release