328-36288-07415
4 vaccinations
9 coded responses
18 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 786 / TX
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-01
Dose 1 — Moderna
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2021-03-23
Registered in v-safe
- 2021-03-23
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2021-03-29
Survey response — day 28, dose 1MedDRA: Asthenia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Energy low. Might be my RaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Dose 2 — Moderna
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Pre-existing disease — Feeling: Good · Site: Itching · Muscle or body achesFree text: I have Ra. I take Tylenol sometimes. I took it 3 hrs after shot. Dont know if I messed up by doing so. Dr. Also asked me to not take METHOTREXATE the diligent week after vaccine. Also both shots were on left arm. N the right arm was the one that was sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Im getting dissy when I get up n my vertigo seems to be mire active. Not to say it was covid vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-05-02
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2021-05-07
Survey response — day 35, dose 2MedDRA: Throat irritation — Feeling: GoodFree text: My throat felt a bit scratchy on Tuesday and again today Friday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 42, dose 2MedDRA: Cough — Feeling: FairFree text: Lingering dry Cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-01
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2021-09-09
Dose 3 — Moderna
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2021-09-30
Survey response — 6 months, dose 2MedDRA: Swelling — Feeling: GoodFree text: I had my 3rd. Vaccine on 9/9/21 n this time it swole up. Fir about 3-4 days. Thats it.MedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — 3 months, dose 3MedDRA: Unevaluable event — Feeling: Good · Be unable to work or attend schoolFree text: Carpal tunnel. But not related to vaccineMedDRA releases: 2024-11 · check-in free text available
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2022-03-17
Dose 4 — Moderna
- 2022-04-15
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2022-04-22
Survey response — day 35, dose 4MedDRA: Adverse reaction, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Sore throat n congestion. Might be just cold allergy symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Survey response — day 42, dose 4MedDRA: Office visit, SARS-CoV-2 test negative, Viral infection — Feeling: FairFree text: Virus of something. Per physician. Covid test negativeMedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
| 4 | 2022-03-17 | Moderna | No |
Free text
Release 6 — day 28, dose 1
Symptoms: Energy low. Might be my Ra
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I have Ra. I take Tylenol sometimes. I took it 3 hrs after shot. Dont know if I messed up by doing so. Dr. Also asked me to not take METHOTREXATE the diligent week after vaccine. Also both shots were on left arm. N the right arm was the one that was sore.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Im getting dissy when I get up n my vertigo seems to be mire active. Not to say it was covid vaccine.
Release 8 — day 35, dose 2
Symptoms: My throat felt a bit scratchy on Tuesday and again today Friday.
Release 8 — day 42, dose 2
Symptoms: Lingering dry Cough.
Release 9 — 6 months, dose 2
Symptoms: I had my 3rd. Vaccine on 9/9/21 n this time it swole up. Fir about 3-4 days. Thats it.
Release 10 — 3 months, dose 3
Symptoms: Carpal tunnel. But not related to vaccine
Release 11 — day 35, dose 4
Symptoms: Sore throat n congestion. Might be just cold allergy symptoms.
Release 11 — day 42, dose 4
Symptoms: Virus of something. Per physician. Covid test negative
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 | Adverse reaction | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release