2GE-11439-82983
2 vaccinations
5 coded responses
8 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 777 / TX
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Dose 1 — Moderna
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2021-03-11
Dose 2 — Moderna
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2021-03-12
Registered in v-safe
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Sinus congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Site: Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I have systemic Lupus joint pain my joint pain may be associated with that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
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2021-04-09
Survey response — day 28, dose 2MedDRA: Fatigue, Fluid retention, Headache, Weight increased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Extreme Fatigue and weight gain due to water retention along with occasional headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 35, dose 2MedDRA: Chest pain, Dyspepsia, Dysphagia, Dyspnoea, Fatigue, Head discomfort — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest pain shortness of breath. Difficulty swallowing. Extreme fatigue, slight headache. When I swallow liquids its hard to digest feels like pebbles are rolling down my chest very painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-12
Survey response — 3 months, dose 2MedDRA: Arthralgia, Headache, Hypoaesthesia, Myalgia, Office visit, Paraesthesia, Vertigo — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Bouts of on and off extreme Vertigo episodes with headaches . Numbness and tingling in my toes while sleeping at night. Increased joint and muscle pain in my knees sometimes its debilitating. · Healthcare visit (other): Primary Care PhysicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-12
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-18
- 2021-09-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus congestion
Systemic reaction (other): I have systemic Lupus joint pain my joint pain may be associated with that.
Release 7 — day 28, dose 2
Symptoms: Extreme Fatigue and weight gain due to water retention along with occasional headaches
Release 7 — day 35, dose 2
Symptoms: Chest pain shortness of breath. Difficulty swallowing. Extreme fatigue, slight headache. When I swallow liquids its hard to digest feels like pebbles are rolling down my chest very painful.
Release 9 — 3 months, dose 2
Symptoms: Bouts of on and off extreme Vertigo episodes with headaches . Numbness and tingling in my toes while sleeping at night. Increased joint and muscle pain in my knees sometimes its debilitating.
Healthcare visit (other): Primary Care Physician
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Dysphagia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fluid retention | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Weight increased | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release