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39H-13486-50435

5 vaccinations 18 coded responses 40 check-ins 18 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
760 / TX
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation, Total lung capacity decreased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Sometimes seems lungs burn or just not quite as much lung capacity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy, Neck pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: First day had swollen lymph nodes that hurt in neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation, Dyspnoea, Throat irritation — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: still intermittent burning in lungs and harder to breath. worse today. scratchy throat again
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Headache, Malaise, Oral herpes, Oropharyngeal pain, Rash, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities
    Free text: since the 2nd day ive had a cold sore that wont go away and i never get those. a week after the vaccine i had a couple days where i again had headache, sore throat, conjestion, and not feeling well. had a small rash on forearm a couple days ago.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-16
    Survey response — day 21, dose 1
    MedDRA: Headache, Myalgia, Paranasal sinus discomfort, Sneezing — Feeling: Fair · Be unable to do your normal daily activities
    Free text: last couple days especially today having muscle aches, bad headaches, sneezing, sinus pressure. been wearing double masks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-23
    Dose 2 — Moderna
  13. 2021-02-23
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Cough, Feeling of body temperature change, Paranasal sinus discomfort, Tremor — Feeling: Poor · Site: Pain, Swelling · 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: mild cough, mild sinus pressure, shaking from chills, grt cold and get really hot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Confusional state, Cough, Delirium, Ear pain, Eating disorder, Feeling of body temperature change, Limb discomfort, Lymph node pain, Movement disorder, Paranasal sinus discomfort, Respiratory tract irritation, Skin irritation, Taste disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: confusion, can't move, ears hurt and lymph nodes below ears, hot but also cold, weak, feel heavy, sinus pressure, light cough, lungs agitated, delirious, skin stings, cant taste as well, eating food makes feel worse
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Ear pain, Fatigue, Noninfective gingivitis, Pneumonitis, Toothache — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work
    Free text: lungs agitated and tired, ears hurt, teeth hurt, gums inflammed, dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Contusion, Dizziness, Insomnia, Noninfective gingivitis, Oral herpes, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: a spot on my calve that hurts really bad, cold sore, trouble sleeping past several days, dizzy, inflammed gums, bruise near injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Dizziness, Eyelid thickening, Nasal congestion — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: dizzy, nasal congestion, lump above eyelid weakness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Discomfort — Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness
    Free text: mild nasal pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-02
    Survey response — day 7, dose 2
    MedDRA: Dizziness, Dry mouth, Ear discomfort, Ear pain, Eyelid thickening, Lymphadenopathy, Nasal congestion — Feeling: Fair · Site: Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: ears hurt and plugged, lymph nodes beliw ears still swollen, still new lump by eyelid, still nasal congestion, very dry mouth this week, dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-09
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Ear discomfort, Fatigue, Headache, Injection site erythema, Nasal congestion — Feeling: Good
    Free text: all more mild than before. pink at injection site, small rash forearm, ears hurt and clogged, dizzy at times, headache, fatigue, nasal congestion at times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-23
    Survey response — day 28, dose 2
    MedDRA: Dyspnoea, Injection site swelling — Feeling: Good
    Free text: occasional shortness of breath never went away after the 1st and even worse after the 2nd vaccine. injection site still has slight bump.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-30
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea, Fatigue, Oropharyngeal pain, Paranasal sinus discomfort — Feeling: Fair
    Free text: same occasional shortness of breath. bit of sore throat and sinus pressure this week. tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-06
    Survey response — day 42, dose 2
    MedDRA: Dyspnoea — Feeling: Fair
    Free text: difficulty breathing is still same since first vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-25
    Survey response — 3 months, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: ever since the first shot i have struggled with breathing as easily
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-08-24
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: continued shortness of breath at times which i never had before.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-12-04
    Dose 3 — Moderna
  29. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  30. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-12-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  33. 2021-12-11
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  34. 2021-12-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-03-05
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-06-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-07-16
    Dose 4 — Moderna
  42. 2022-10-29
    Dose 5 — Moderna
    Co-administered: Other
  43. 2022-12-06
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-12-06
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-12-10
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  46. 2023-01-28
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-23Moderna
32021-12-04Moderna No
42022-07-16Moderna No
52022-10-29Moderna Other

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Sometimes seems lungs burn or just not quite as much lung capacity

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): First day had swollen lymph nodes that hurt in neck

2021-01-30

Systemic reaction (other): still intermittent burning in lungs and harder to breath. worse today. scratchy throat again

Release 3 — day 14, dose 1

2021-02-09

Symptoms: since the 2nd day ive had a cold sore that wont go away and i never get those. a week after the vaccine i had a couple days where i again had headache, sore throat, conjestion, and not feeling well. had a small rash on forearm a couple days ago.

Release 4 — day 21, dose 1

2021-02-16

Symptoms: last couple days especially today having muscle aches, bad headaches, sneezing, sinus pressure. been wearing double masks

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): mild cough, mild sinus pressure, shaking from chills, grt cold and get really hot

2021-02-25

Systemic reaction (other): confusion, can't move, ears hurt and lymph nodes below ears, hot but also cold, weak, feel heavy, sinus pressure, light cough, lungs agitated, delirious, skin stings, cant taste as well, eating food makes feel worse

2021-02-26

Systemic reaction (other): lungs agitated and tired, ears hurt, teeth hurt, gums inflammed, dizzy

2021-02-27

Systemic reaction (other): a spot on my calve that hurts really bad, cold sore, trouble sleeping past several days, dizzy, inflammed gums, bruise near injection

2021-02-28

Systemic reaction (other): dizzy, nasal congestion, lump above eyelid weakness

2021-03-01

Systemic reaction (other): mild nasal pressure

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): ears hurt and plugged, lymph nodes beliw ears still swollen, still new lump by eyelid, still nasal congestion, very dry mouth this week, dizzy

Release 5 — day 14, dose 2

2021-03-09

Symptoms: all more mild than before. pink at injection site, small rash forearm, ears hurt and clogged, dizzy at times, headache, fatigue, nasal congestion at times

Release 6 — day 28, dose 2

2021-03-23

Symptoms: occasional shortness of breath never went away after the 1st and even worse after the 2nd vaccine. injection site still has slight bump.

Release 6 — day 35, dose 2

2021-03-30

Symptoms: same occasional shortness of breath. bit of sore throat and sinus pressure this week. tired.

Release 7 — day 42, dose 2

2021-04-06

Symptoms: difficulty breathing is still same since first vaccination

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: ever since the first shot i have struggled with breathing as easily

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: continued shortness of breath at times which i never had before.

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
SDDizziness ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEar discomfort ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDOral herpes ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDParanasal sinus discomfort ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODelirium ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROEating disorder ✓ ✓ ✓
SROEyelid thickening ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling of body temperature change ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMovement disorder ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONoninfective gingivitis ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SROPneumonitis ✓ ✓ ✓
SRORespiratory tract irritation ✓ ✓ ✓
SROSkin irritation ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓
SROToothache ✓ ✓ ✓
SROTotal lung capacity decreased ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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

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