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2S9-22947-18173

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
770 / TX
Registered
2020-12-31
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2020-12-31
    Registered in v-safe
  3. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  4. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Headache
    Free text: Nose kept running behind surgical mask.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-06
    Survey response — day 7, dose 1
    MedDRA: Rash — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Rash in left upper thigh
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-15
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-01-27
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-03
    Survey response — day 35, dose 1
    MedDRA: Fatigue, Nasal congestion — Feeling: Fair
    Free text: Increased nasal congestion & fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-04
    Dose 2 — Moderna
  14. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  15. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  16. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  19. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  20. 2021-02-19
    Survey response — day 14, dose 2
    MedDRA: Epistaxis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Frequent nose bleeds
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-03-06
    Survey response — day 28, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very tired. I was so fatigued, i ran over the curb turning the corner, on the way to work. I have no energy at all.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-06
    Survey response — 3 months, dose 2
    MedDRA: Exposure to SARS-CoV-2, Fatigue, Malaise, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very fatigued, sore throat, and nit feeling very well. My son was tested on 05/01/2021 for covid & tested positive.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-06
    Dose 3 — Moderna
  28. 2022-02-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-03-07
    Survey response — 6 months, dose 3
    MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Increased problem with diahrrea. As soon as I eat, within a hr or less- need to go to the restroom.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-09-09
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-02-04Moderna
32021-09-06Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Nose kept running behind surgical mask.

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Rash in left upper thigh

Release 3 — day 35, dose 1

2021-02-03

Symptoms: Increased nasal congestion & fatigue

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Frequent nose bleeds

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Very tired. I was so fatigued, i ran over the curb turning the corner, on the way to work. I have no energy at all.

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Very fatigued, sore throat, and nit feeling very well. My son was tested on 05/01/2021 for covid & tested positive.

Release 11 — 6 months, dose 3

2022-03-07

Symptoms: Increased problem with diahrrea. As soon as I eat, within a hr or less- need to go to the restroom.

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
SDAsthenia ✓ ✓ ✓
SDDiarrhoea · · ✓
SDEpistaxis ✓ ✓ ✓
SDExposure to SARS-CoV-2 · · ✓
SDFatigue ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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