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2J6-27068-78878

4 vaccinations 8 coded responses 54 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
752 / TX
Registered
2021-03-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Registered in v-safe
  2. 2021-03-15
    Dose 1 — Moderna
  3. 2021-03-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  4. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Poor · Headache, Fatigue or tiredness
    Free text: Pollen allergies really bad today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-22
    Survey response — day 7, dose 1
    MedDRA: Irritability — Feeling: Fair · Joint pains
    Free text: Feel irritable. Maybe hormones pushed out of balance by vaccine or adrenaline just getting the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-29
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-04-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-12
    Dose 2 — Moderna
  14. 2021-04-12
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Fingers numb on left hand.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  18. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  19. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-26
    Survey response — day 14, dose 2
    MedDRA: Balance disorder, Irritability — Feeling: Fair
    Free text: I feel irritable as if my thyroid or hormones are out of balance. I think this happened after the first vaccine also.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-24
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Back pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Left lower back and hip pain. Dont recall any over exerted actions. Has since relaxed 90%.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-28
    Dose 3 — Moderna
  29. 2021-10-28
    Survey response — day 0, dose 3
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities
    Free text: Pain at injection site seems worse than the first two shots.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  34. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  35. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-07-21
    Dose 4 — Moderna
  45. 2022-07-21
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  46. 2022-07-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  47. 2022-07-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  48. 2022-07-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  49. 2022-07-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  50. 2022-07-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2022-07-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-07-28
    Survey response — day 7, dose 4
    MedDRA: Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Fever
    Free text: Congestion. Did home Covid test. Was negative.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-08-04
    Survey response — day 14, dose 4
    MedDRA: Vertigo — Feeling: Good
    Free text: Vertigo
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-08-11
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-08-18
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-08-25
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-09-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-10-20
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  59. 2023-01-19
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-12Moderna
32021-10-28Moderna No
42022-07-21Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Pollen allergies really bad today

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): Feel irritable. Maybe hormones pushed out of balance by vaccine or adrenaline just getting the vaccine.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Fingers numb on left hand.

Release 8 — day 14, dose 2

2021-04-26

Symptoms: I feel irritable as if my thyroid or hormones are out of balance. I think this happened after the first vaccine also.

Release 8 — day 42, dose 2

2021-05-24

Symptoms: Left lower back and hip pain. Dont recall any over exerted actions. Has since relaxed 90%.

Release 10 — day 0, dose 3

2021-10-28

Systemic reaction (other): Pain at injection site seems worse than the first two shots.

Release 12 — day 7, dose 4

2022-07-28

Systemic reaction (other): Congestion. Did home Covid test. Was negative.

Release 12 — day 14, dose 4

2022-08-04

Symptoms: Vertigo

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 ✓ ✓ ✓
SDBalance disorder ✓ ✓ ✓
SDIrritability ✓ ✓ ✓
SDVertigo · · ✓
SROHypersensitivity ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInjection site pain · · ✓
SROIrritability ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORespiratory tract congestion · · ✓
SROSARS-CoV-2 test negative · · ✓

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

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