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2SZ-21369-91809

3 vaccinations 5 coded responses 23 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
751 / TX
Registered
2021-02-03
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  4. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-23
    Survey response — day 21, dose 1
    MedDRA: Epistaxis, Nausea, Sinus disorder — Feeling: Good
    Free text: Little nausea that comes and fades without warning, sinus cant be put into check. In mornings when blowing nose slight bleeding lite red color after 1st blow normally gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-02
    Dose 2 — Moderna
  11. 2021-03-02
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Swelling
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  14. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-01
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Asthenia, Self-medication — Feeling: Fair
    Free text: My energy level has depleted and my joints ache worst than ever I'm taking claritin 12 hour relief.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-11
    Dose 3 — Moderna
  25. 2022-03-02
    Survey response — 12 months, dose 2
    MedDRA: Arthropathy, Back pain, Muscle spasms — Feeling: Good
    Free text: My right ankle is giving me issues, my lower back really hurts more than ever there are pop up spasms occurring on my right side in my stomach area
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-05-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-11-11
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna
32021-11-11Moderna No

Free text

Release 4 — day 21, dose 1

2021-02-23

Symptoms: Little nausea that comes and fades without warning, sinus cant be put into check. In mornings when blowing nose slight bleeding lite red color after 1st blow normally gone.

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): No

Release 6 — day 28, dose 2

2021-04-01

Symptoms: My energy level has depleted and my joints ache worst than ever I'm taking claritin 12 hour relief.

Release 11 — 12 months, dose 2

2022-03-02

Symptoms: My right ankle is giving me issues, my lower back really hurts more than ever there are pop up spasms occurring on my right side in my stomach area

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 ✓ ✓ ✓
SDArthropathy · · ✓
SDAsthenia ✓ ✓ ✓
SDBack pain · · ✓
SDEpistaxis ✓ ✓ ✓
SDMuscle spasms · · ✓
SDNausea ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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