3BH-30773-62214
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 750 / TX
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Moderna
-
2021-04-09
Registered in v-safe
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Insomnia, Pain in extremity — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to workFree text: This is Day 3 for me. First day, my arm really hurt and was wired at bedtime, so couldn't sleep. Day 2, ran a temp of 101.6. Did not feel well. Headache, arm ache and temp.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
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2021-05-05
Dose 2 — Moderna
- 2021-05-05
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Nausea, Abdominal painAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-09
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
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2021-06-02
Survey response — day 28, dose 2MedDRA: Diverticulitis, Pre-existing disease — Feeling: FairFree text: Symptoms of diverticulitis. Have been having more of these since 2nd shot. Keep forgetting to post that here.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
- 2021-06-18
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2021-08-04
Survey response — 3 months, dose 2MedDRA: Headache, Pre-existing disease, Sinus pain — Feeling: GoodFree text: Allergies (headache, sinus pain)MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-03
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2022-05-07
Survey response — 12 months, dose 2MedDRA: Pre-existing disease, SARS-CoV-2 test negative, Sinus headache — Feeling: GoodFree text: Allergies - different than they've been before. Less sneezing and stuffy nose and more headaches from sinuses (tested for COVID - so this was allergies).MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): This is Day 3 for me. First day, my arm really hurt and was wired at bedtime, so couldn't sleep. Day 2, ran a temp of 101.6. Did not feel well. Headache, arm ache and temp.
Release 8 — day 28, dose 2
Symptoms: Symptoms of diverticulitis. Have been having more of these since 2nd shot. Keep forgetting to post that here.
Release 9 — 3 months, dose 2
Symptoms: Allergies (headache, sinus pain)
Release 11 — 12 months, dose 2
Symptoms: Allergies - different than they've been before. Less sneezing and stuffy nose and more headaches from sinuses (tested for COVID - so this was allergies).
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 |
|---|---|---|---|---|
| SD | Diverticulitis | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sinus pain | ✓ | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release