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3HK-15301-20188

5 vaccinations 6 coded responses 52 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
786 / TX
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Registered in v-safe
  2. 2021-02-27
    Dose 1 — Moderna
  3. 2021-02-27
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-03-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-27
    Survey response — day 28, dose 1
    MedDRA: Muscle spasms — Feeling: Fair
    Free text: Calf and foot cramps in right leg, maybe due to overexertion in high temps
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-30
    Dose 2 — Moderna
  15. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches
    Adult check-in
  16. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  17. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  22. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-29
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  30. 2021-12-28
    Dose 3 — Moderna
  31. 2022-01-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-01-25
    Survey response — day 28, dose 3
    MedDRA: Menstruation delayed, Vaccine positive rechallenge — Feeling: Fair
    Free text: Delayed menses. Am not pregnant (multiple home test) & period is now 56 days late (due to start 12/29/2021). This also happened w/my 2nd shot. Rcvd it a few days before cycle due and I was late by about 41 days.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-02-01
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  34. 2022-02-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-03-29
    Survey response — 3 months, dose 3
    MedDRA: Abdominal pain, Irritable bowel syndrome, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Abdominal pain due to possible hernia, flare-up of my IBS-D
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-06-11
    Dose 4 — Pfizer-BioNTech
  37. 2022-06-26
    Survey response — day 14, dose 4
    MedDRA: Diabetes mellitus, Paraesthesia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Worsening diabetes, upper right body parathesias not related to diabetic neuropathy. Parathesias began 5/7/22 and unrelated to vaccine status.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-06-26
    Report sent to call center — day 14, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  39. 2022-06-27
  40. 2022-07-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-07-09
    Survey response — day 28, dose 4
    MedDRA: Cough, Hypogeusia, Hyposmia, Nasal pruritus, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Caught a head cold, four serial rapid COVID-19 tests have been negative Sinus congestion, runny and itchy nose, slight cough, lots of sneezing, sore throat, ZERO loss of smell/taste but it's diminished, ZERO fever
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-07-09
    Report sent to call center — day 28, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  43. 2022-07-11
  44. 2022-07-11
  45. 2022-07-11
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  46. 2022-07-11
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  47. 2022-07-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-07-23
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-09-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-10-22
    Dose 5 — Pfizer-BioNTech
  51. 2022-10-22
    Survey response — day 0, dose 5
    MedDRA: Heart rate abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Weird heart rate issues 4 hrs post-injection
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-10-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  53. 2022-10-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  54. 2022-10-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  55. 2022-10-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  56. 2022-10-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  57. 2022-10-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  58. 2022-10-29
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  59. 2022-11-05
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  60. 2022-11-12
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  61. 2022-11-19
    Health check-in — day 28, dose 5
    Feeling: Fair
    Adult check-in
  62. 2022-11-26
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  63. 2022-12-03
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  64. 2023-01-21
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  65. 2023-04-22
    Health check-in — 6 months, dose 5
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-03-30Moderna
32021-12-28Moderna No
42022-06-11Pfizer-BioNTech No
52022-10-22Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — day 28, dose 1

2021-03-27

Symptoms: Calf and foot cramps in right leg, maybe due to overexertion in high temps

Release 11 — day 28, dose 3

2022-01-25

Symptoms: Delayed menses. Am not pregnant (multiple home test) & period is now 56 days late (due to start 12/29/2021). This also happened w/my 2nd shot. Rcvd it a few days before cycle due and I was late by about 41 days.

Release 11 — 3 months, dose 3

2022-03-29

Symptoms: Abdominal pain due to possible hernia, flare-up of my IBS-D

Release 12 — day 14, dose 4

2022-06-26

Symptoms: Worsening diabetes, upper right body parathesias not related to diabetic neuropathy. Parathesias began 5/7/22 and unrelated to vaccine status.

Release 12 — day 28, dose 4

2022-07-09

Symptoms: Caught a head cold, four serial rapid COVID-19 tests have been negative Sinus congestion, runny and itchy nose, slight cough, lots of sneezing, sore throat, ZERO loss of smell/taste but it's diminished, ZERO fever

Release 12 — day 0, dose 5

2022-10-22

Systemic reaction (other): Weird heart rate issues 4 hrs post-injection

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
SDAbdominal pain · · ✓
SDCough · · ✓
SDDiabetes mellitus · · ✓
SDHypogeusia · · ✓
SDHyposmia · · ✓
SDIrritable bowel syndrome · · ✓
SDMenstruation delayed · · ✓
SDMuscle spasms ✓ ✓ ✓
SDNasal pruritus · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDParaesthesia · · ✓
SDPre-existing disease · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinus congestion · · ✓
SDSneezing · · ✓
SDVaccine positive rechallenge · · ✓
SROHeart rate abnormal · · ✓

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

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