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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

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Depressed mood — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sadness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness
    Free text: Foggy, hazzy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Neck pain — Feeling: Good · Headache, Fatigue or tiredness
    Free 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
  9. 2021-01-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  10. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  11. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-02-21
    Dose 2 — Moderna
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  16. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: These symptoms have continued off and on since when I had my second injection last Sunday February 21, 2021
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-28
    Survey response — day 7, dose 2
    MedDRA: Malaise — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: General malais.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-22
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-21Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Sadness

2021-01-26

Systemic reaction (other): Foggy, hazzy.

2021-01-27

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.

2021-01-28

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

2021-02-27

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

2021-02-28

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction ✓ ✓ ✓
SRODepressed mood ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓

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