39R-26743-03224
4 vaccinations
9 coded responses
40 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
-
2021-02-13
Survey response — day 21, dose 1MedDRA: Abdominal pain upper, Musculoskeletal discomfort — Feeling: FairFree text: Stomach pains, deep upper back discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
-
2021-02-24
Dose 2 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-05-26
Survey response — 3 months, dose 2MedDRA: Erythema, Office visit, Pruritus, Rosacea, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Extreme case of rosacea over entire face w/extreme itching, swelling, redness. · Healthcare visit (other): In-person dermatologyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-18
Dose 3 — Moderna
- 2021-08-25
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Diplopia, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Double vision, headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
-
2022-05-12
Dose 4 — Moderna
-
2022-05-13
Survey response — days 1–6 daily, dose 4MedDRA: Headache, Injection site erythema, Injection site mass, Injection site swelling — Feeling: Good · Site: Redness, Swelling · HeadacheFree text: Very mild headache, 1" raised red lump at siteMedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Erythema, Pain, Swelling — Feeling: Good · Site: Redness, Swelling · Muscle or body achesFree text: The red lump has expanded to almost 2" in diameter with mild soreness, but otherwise I am fine. Does not hurt nearly as much as the 3rd shot.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Erythema, Malaise, Nodule, Self-medication, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 3" diameter today, wasn't feeling well, took one ibuprofen around noon, which helped all symptoms; now down to 2" diameter & redness bit less annoying; still raised knotMedDRA releases: 2024-11 · check-in free text available
-
2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Asthenia, Injection site reaction — Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Site is back down to 2", still feeling weak, but am feeling better overallMedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-19
Survey response — day 7, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Sooo much better today.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-11
-
2022-11-10
Survey response — 6 months, dose 4MedDRA: Fatigue, Headache, Throat irritation — Feeling: FairFree text: Tiredness, headache, scratchy throatMedDRA releases: 2024-11 · check-in free text available
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-08-18 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 21, dose 1
Symptoms: Stomach pains, deep upper back discomfort
Release 8 — 3 months, dose 2
Symptoms: Extreme case of rosacea over entire face w/extreme itching, swelling, redness.
Healthcare visit (other): In-person dermatology
Release 11 — 12 months, dose 2
Symptoms: Double vision, headache
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Very mild headache, 1" raised red lump at site
Systemic reaction (other): The red lump has expanded to almost 2" in diameter with mild soreness, but otherwise I am fine. Does not hurt nearly as much as the 3rd shot.
Systemic reaction (other): 3" diameter today, wasn't feeling well, took one ibuprofen around noon, which helped all symptoms; now down to 2" diameter & redness bit less annoying; still raised knot
Systemic reaction (other): Site is back down to 2", still feeling weak, but am feeling better overall
Release 11 — day 7, dose 4
Systemic reaction (other): Sooo much better today.
Release 12 — 6 months, dose 4
Symptoms: Tiredness, headache, scratchy throat
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 | Erythema | ✓ | ✓ | ○ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Diplopia | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rosacea | · | · | ✓ |
| SD | Swelling face | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Nodule | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release