393-17600-10876
2 vaccinations
6 coded responses
17 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 760 / TX
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-24
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Depressed mood — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: SadnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tirednessFree text: Foggy, hazzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Neck pain — Feeling: Good · Headache, Fatigue or tirednessFree text: I feel less tired than I have in days past but still a bit draggy. My neck continues to hurt as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Im concerned about the headache I have gotten almost every afternoon around 4:00 PM. I have taken topiramate every morning for over 10 years to alleviate migraines so I do not normally get headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
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2021-02-21
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These symptoms have continued off and on since when I had my second injection last Sunday February 21, 2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — day 7, dose 2MedDRA: Malaise — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: General malais.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-14
- 2021-08-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-21 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sadness
Systemic reaction (other): Foggy, hazzy.
Systemic reaction (other): I feel less tired than I have in days past but still a bit draggy. My neck continues to hurt as well.
Systemic reaction (other): Im concerned about the headache I have gotten almost every afternoon around 4:00 PM. I have taken topiramate every morning for over 10 years to alleviate migraines so I do not normally get headaches.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): These symptoms have continued off and on since when I had my second injection last Sunday February 21, 2021
Release 4 — day 7, dose 2
Systemic reaction (other): General malais.
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release