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37U-32849-94454

2 vaccinations 4 coded responses 15 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
787 / TX
Registered
2021-02-25
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-02-24
    Dose 2 — Moderna
  3. 2021-02-25
    Registered in v-safe
  4. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Stuffy nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  6. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache
    Free text: Just something strange: yesterday afternoon Suddenly had excruciating pain @ inj site x abt 1/2 hr. Then, pain disappeared.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Erythema, Lip dry, Lip exfoliation — Feeling: Good
    Free text: Lips and approx. 1/8 around lips, red & very dry, thickened & peeling. Lubricant makes peeling worse. I have consumed nothing new. Painful only when I neglect to wet my lips before opening my mouth & the skin breaks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-25
    Survey response — 6 months, dose 2
    MedDRA: Cough, Fatigue, Headache, Nasal congestion, Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Cold symptoms x3 days: 101* temp, nasal congestion, light cough, fatigue, headache. I did not take a COVID-19 test. Should I?
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-24Moderna

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Stuffy nose

2021-02-27

Systemic reaction (other): Just something strange: yesterday afternoon Suddenly had excruciating pain @ inj site x abt 1/2 hr. Then, pain disappeared.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Lips and approx. 1/8 around lips, red & very dry, thickened & peeling. Lubricant makes peeling worse. I have consumed nothing new. Painful only when I neglect to wet my lips before opening my mouth & the skin breaks

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Cold symptoms x3 days: 101* temp, nasal congestion, light cough, fatigue, headache. I did not take a COVID-19 test. Should I?

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
SDCough ✓ · ✓
SDErythema ✓ ✓ ✓
SDFatigue ✓ · ✓
SDHeadache ✓ · ✓
SDLip dry ✓ ✓ ✓
SDLip exfoliation ✓ ✓ ✓
SDNasal congestion ✓ · ✓
SDNasopharyngitis ✓ · ✓
SDPyrexia ✓ · ✓
SROInjection site pain ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓

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