2W8-13271-03598
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 760 / TX
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Sleep disorder — Feeling: Fair · Diarrhea, Abdominal painFree text: Disrupted sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain — Feeling: Fair · Fatigue or tiredness, Abdominal painFree text: Abdominal pain that seems to move around. Currently, in navel area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
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2021-01-22
Survey response — day 14, dose 1MedDRA: Fatigue, Sinus disorder, Toothache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus issues, but they may be due to fluctuating weather or that I spent 2 hours in dentists chair with broken tooth root. Tired from lack of quality sleep -3 days of toothache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
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2021-02-02
Dose 2 — Moderna
- 2021-02-05
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had slight fever (98.8) day after shot; chills; whole body muscle aches, headache. Fine the second day after.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-25
- 2021-03-02
- 2021-03-09
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2021-05-06
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had prolonged muscle aches/weakness, and fatigue following my second shingles vaccine in mid-April. My last COVID-19 vaccine was 2-2-21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-03
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-02 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Disrupted sleep
Systemic reaction (other): Abdominal pain that seems to move around. Currently, in navel area.
Release 2 — day 14, dose 1
Symptoms: Sinus issues, but they may be due to fluctuating weather or that I spent 2 hours in dentists chair with broken tooth root. Tired from lack of quality sleep -3 days of toothache.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Had slight fever (98.8) day after shot; chills; whole body muscle aches, headache. Fine the second day after.
Release 8 — 3 months, dose 2
Symptoms: I had prolonged muscle aches/weakness, and fatigue following my second shingles vaccine in mid-April. My last COVID-19 vaccine was 2-2-21.
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 |
|---|---|---|---|---|
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Toothache | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release