3SF-15565-37348
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-09
Registered in v-safe
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2021-02-09
Dose 1 — Moderna
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2021-02-09
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, NauseaAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Flank pain, Neuralgia, Pain in extremity — Feeling: Good · Site: Pain, Itching · HeadacheFree text: Had sharp or stabbing pain in back, side, arm, hand, and other areas like nerves firing over last couple daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-14
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2021-02-23
Survey response — day 14, dose 1MedDRA: Pain in jaw, Toothache — Feeling: GoodFree text: Tooth and jaw pain, probably unrelated. Havent been to dentist since pandemic began due to heightened safety since I am at high risk of complications from Covid if I contract it. Might cavity or need of root canal as the pains been 7 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
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2021-03-10
Dose 2 — Moderna
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Eyes hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: Uneasy stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fever blisterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Animal bite, Headache, Injury, Insomnia, Pain, Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: I had a dog bite me last night so my headache could be from that and because I couldnt sleep because of injury pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-26
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-10
- 2022-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Had sharp or stabbing pain in back, side, arm, hand, and other areas like nerves firing over last couple days
Release 4 — day 14, dose 1
Symptoms: Tooth and jaw pain, probably unrelated. Havent been to dentist since pandemic began due to heightened safety since I am at high risk of complications from Covid if I contract it. Might cavity or need of root canal as the pains been 7 days
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Eyes hurt
Systemic reaction (other): Uneasy stomach
Systemic reaction (other): Fever blister
Systemic reaction (other): I had a dog bite me last night so my headache could be from that and because I couldnt sleep because of injury pain.
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 | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Toothache | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Animal bite | ✓ | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Flank pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Injury | ✓ | · | ✓ |
| SRO | Insomnia | ✓ | · | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release