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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

  1. 2021-04-10
    Dose 1 — Moderna
  2. 2021-04-11
    Registered in v-safe
  3. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  4. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-08
    Survey response — day 28, dose 1
    MedDRA: Ear pain, Fatigue, Gastrointestinal pain, Headache — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache, earache, fatigue, followed by gastrointestinal pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-15
    Dose 2 — Moderna
  14. 2021-05-15
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  15. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free 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
  17. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  18. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-29
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Headache, Lacrimation increased, Neck pain, Paranasal sinus discomfort, Sneezing — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache, neck ache, sinus pressure, fatigue, sneezing, watery eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-26
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-08-14
    Survey response — 3 months, dose 2
    MedDRA: Ear pain, Headache, Nausea, Neck pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache, neck ache, ear pain, nausea
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-11-13
    Survey response — 6 months, dose 2
    MedDRA: Decreased appetite, Fatigue, Nausea, Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  29. 2022-05-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-10Moderna
22021-05-15Moderna

Free text

Release 8 — day 28, dose 1

2021-05-08

Symptoms: Headache, earache, fatigue, followed by gastrointestinal pain.

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Fever of 99.8 yesterday after check-in when I reported 99.1 temp.

Release 8 — day 14, dose 2

2021-05-29

Symptoms: Headache, neck ache, sinus pressure, fatigue, sneezing, watery eyes

Release 9 — 3 months, dose 2

2021-08-14

Symptoms: Headache, neck ache, ear pain, nausea

Release 10 — 6 months, dose 2

2021-11-13

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

FieldPreferred term2021-092023-042024-11
SDDecreased appetite · · ✓
SDEar pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLacrimation increased ✓ ✓ ✓
SDNausea ✓ · ✓
SDNeck pain ✓ ✓ ✓
SDParanasal sinus discomfort ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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