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2FH-65957-52350

3 vaccinations 12 coded responses 35 check-ins 12 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
786 / TX
Registered
2021-02-01
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-01
    Registered in v-safe
  2. 2021-02-01
    Dose 1 — Moderna
  3. 2021-02-01
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-08
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-01
    Survey response — day 28, dose 1
    MedDRA: Back pain — Feeling: Poor
    Free text: Backache today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-05
    Dose 2 — Moderna
  13. 2021-03-05
    Survey response — day 0, dose 2
    MedDRA: Nausea — Feeling: Good · Site: Pain · Nausea
    Free text: A bit queasy after 5 hrs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness
    Free text: Slight chills; tired around 4 30 pm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-02
    Survey response — day 28, dose 2
    MedDRA: Chills, Neck pain, Oropharyngeal pain — Feeling: Good
    Free text: Yesterday (4/1l):*sore throat/neck area*random chills late evening/@ bedtime
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-28
    Dose 3 — Moderna
  27. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Immediate post-injection reaction, Injection site bruising — Feeling: Good
    Free text: Just bruised arm at injection site right after shot; bruise still visible
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Still have bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-04
    Survey response — day 7, dose 3
    MedDRA: Vaccination site bruising — Feeling: Good
    Free text: Bruise at vaccine site is still visible
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-13
    Survey response — day 14, dose 3
    MedDRA: Heavy menstrual bleeding, Oligomenorrhoea — Feeling: Fair
    Free text: Menstrual cycle has been heavier than usual...and longer (on day 11).
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-20
    Survey response — day 21, dose 3
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Right shoulder pain
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-04
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-27
    Survey response — 3 months, dose 3
    MedDRA: Chills, Nasal congestion, Rhinorrhoea, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Mild, random chills Runny nose Stuffy nose Sinus congestion (NO cough)
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-05-01
    Survey response — 6 months, dose 3
    MedDRA: Hypersensitivity, Sneezing, Throat irritation — Feeling: Fair
    Free text: Allergy like symptoms such as sneezing, scratchy throat
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-10-30
    Survey response — 12 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Covid positive in July 2022
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna
22021-03-05Moderna
32021-10-28Moderna No

Free text

Release 4 — day 28, dose 1

2021-03-01

Symptoms: Backache today

Release 5 — day 0, dose 2

2021-03-05

Systemic reaction (other): A bit queasy after 5 hrs

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Slight chills; tired around 4 30 pm

Release 6 — day 28, dose 2

2021-04-02

Symptoms: Yesterday (4/1l):*sore throat/neck area*random chills late evening/@ bedtime

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Just bruised arm at injection site right after shot; bruise still visible

2021-11-03

Systemic reaction (other): Still have bruise at injection site

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Bruise at vaccine site is still visible

Release 10 — day 14, dose 3

2021-11-13

Symptoms: Menstrual cycle has been heavier than usual...and longer (on day 11).

Release 10 — day 21, dose 3

2021-11-20

Symptoms: Right shoulder pain

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Mild, random chills Runny nose Stuffy nose Sinus congestion (NO cough)

Release 11 — 6 months, dose 3

2022-05-01

Symptoms: Allergy like symptoms such as sneezing, scratchy throat

Release 12 — 12 months, dose 3

2022-10-30

Symptoms: Covid positive in July 2022

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
SDArthralgia · · ✓
SDBack pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCOVID-19 · · ✓
SDHeavy menstrual bleeding · · ✓
SDHypersensitivity · · ✓
SDNasal congestion · · ✓
SDNeck pain ✓ ✓ ✓
SDOligomenorrhoea · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSinus congestion · · ✓
SDSneezing · · ✓
SDThroat irritation · · ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROImmediate post-injection reaction · · ✓
SROInjection site bruising · · ✓
SRONausea ✓ ✓ ✓
SROVaccination site bruising · · ✓

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