378-11963-42546
4 vaccinations
7 coded responses
42 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 757 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Muscle or body achesFree text: Sore arm that received injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Headache — Feeling: FairFree text: Slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 21, dose 1MedDRA: Joint stiffness, Muscle tightness, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Tight muscles, stiff joints, ongoing problem that arises occasionally over last few years. Dont think it is related to vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Photophobia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Eyes are painful & very sensitive to lightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 28, dose 2MedDRA: Condition aggravated, Headache, Nausea, Photophobia, Pre-existing disease, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Worsening nerve problems in feet & legs, light sensitive headache for 12 hrs, slight nausea. Took 1 acetaminophen, 6 hrs later 1 ibuprofen & 1 antihistamine & that helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-06-30
- 2021-08-12
-
2021-11-17
Dose 3 — Moderna
- 2022-02-12
- 2022-02-16
- 2022-05-18
-
2022-11-21
Dose 4 — Moderna
- 2022-11-21
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2022-11-21
Survey response — 12 months, dose 3MedDRA: COVID-19, Cough, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Covid Aug 1, 2022. Temp 100 to 101, headache, sore throat, cough · Healthcare visit (other): Tested for Covid in my vehicle & doctor came out & checked me & prescribed meds.MedDRA releases: 2024-11 · check-in free text available
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2022-11-21
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-22
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2022-11-22
Call successfulNot applicable - Accidental Reporting
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2022-11-22
Call successfulNot applicable - Accidental Reporting
- 2022-11-23
- 2022-11-24
- 2022-11-25
- 2022-11-26
- 2022-11-27
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2022-12-19
- 2022-12-26
- 2023-01-02
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2023-02-20
Survey response — 3 months, dose 4MedDRA: Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-02-20
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-21
- 2023-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-11-21 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm that received injection
Release 2 — day 14, dose 1
Symptoms: Slight headache
Release 3 — day 21, dose 1
Symptoms: Tight muscles, stiff joints, ongoing problem that arises occasionally over last few years. Dont think it is related to vaccination.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Eyes are painful & very sensitive to light
Release 5 — day 28, dose 2
Symptoms: Worsening nerve problems in feet & legs, light sensitive headache for 12 hrs, slight nausea. Took 1 acetaminophen, 6 hrs later 1 ibuprofen & 1 antihistamine & that helped.
Release 12 — 12 months, dose 3
Symptoms: Covid Aug 1, 2022. Temp 100 to 101, headache, sore throat, cough
Healthcare visit (other): Tested for Covid in my vehicle & doctor came out & checked me & prescribed meds.
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 |
|---|---|---|---|---|
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Photophobia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release