3LA-15386-60263
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 761 / TX
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Moderna
-
2021-04-11
Registered in v-safe
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-13
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
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2021-05-08
Survey response — day 28, dose 1MedDRA: Ear pain, Fatigue, Gastrointestinal pain, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache, earache, fatigue, followed by gastrointestinal pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-15
Dose 2 — Moderna
- 2021-05-15
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Fever of 99.8 yesterday after check-in when I reported 99.1 temp.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-22
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2021-05-29
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Lacrimation increased, Neck pain, Paranasal sinus discomfort, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache, neck ache, sinus pressure, fatigue, sneezing, watery eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-06-12
- 2021-06-19
- 2021-06-26
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2021-08-14
Survey response — 3 months, dose 2MedDRA: Ear pain, Headache, Nausea, Neck pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache, neck ache, ear pain, nauseaMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-13
Survey response — 6 months, dose 2MedDRA: Decreased appetite, Fatigue, Nausea, Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: One week ago today I had sinus pressure, nasal drainage, nausea, loss of appetite and fatigue. No fever and felt better the next day. Felt back to normal within four days. Took a Walgreens Covid test the first day. Results were negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-15 | Moderna |
Free text
Release 8 — day 28, dose 1
Symptoms: Headache, earache, fatigue, followed by gastrointestinal pain.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Fever of 99.8 yesterday after check-in when I reported 99.1 temp.
Release 8 — day 14, dose 2
Symptoms: Headache, neck ache, sinus pressure, fatigue, sneezing, watery eyes
Release 9 — 3 months, dose 2
Symptoms: Headache, neck ache, ear pain, nausea
Release 10 — 6 months, dose 2
Symptoms: One week ago today I had sinus pressure, nasal drainage, nausea, loss of appetite and fatigue. No fever and felt better the next day. Felt back to normal within four days. Took a Walgreens Covid test the first day. Results were negative.
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 | Decreased appetite | · | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release