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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

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-03-11
    Dose 2 — Moderna
  3. 2021-03-12
    Registered in v-safe
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  5. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sinus congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Sinus congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  7. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-04-09
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Fluid retention, Headache, Weight increased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Extreme Fatigue and weight gain due to water retention along with occasional headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-15
    Survey response — day 35, dose 2
    MedDRA: 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 visit
    Free 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
  10. 2021-04-15
    Report sent to call center — day 35, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-06-12
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free 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 Physician
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-12
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-18
  14. 2021-09-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Sinus congestion

2021-03-16

Systemic reaction (other): I have systemic Lupus joint pain my joint pain may be associated with that.

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Extreme Fatigue and weight gain due to water retention along with occasional headaches

Release 7 — day 35, dose 2

2021-04-15

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

2021-06-12

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDDyspepsia ✓ ✓ ✓
SDDysphagia ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFluid retention ✓ ✓ ✓
SDHead discomfort ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDVertigo ✓ ✓ ✓
SDWeight increased ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSinus congestion ✓ ✓ ✓
SROSystemic lupus erythematosus ✓ ✓ ✓

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