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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

  1. 2021-02-09
    Registered in v-safe
  2. 2021-02-09
    Dose 1 — Moderna
  3. 2021-02-09
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Flank pain, Neuralgia, Pain in extremity — Feeling: Good · Site: Pain, Itching · Headache
    Free text: Had sharp or stabbing pain in back, side, arm, hand, and other areas like nerves firing over last couple days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-23
    Survey response — day 14, dose 1
    MedDRA: Pain in jaw, Toothache — Feeling: Good
    Free 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 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-10
    Dose 2 — Moderna
  11. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Eyes hurt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Free text: Uneasy stomach
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral herpes — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Fever blister
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Animal bite, Headache, Injury, Insomnia, Pain, Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Free 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
  16. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Poor
    Adult check-in
  24. 2022-03-10
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-10Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

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

2021-02-23

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

2021-03-11

Systemic reaction (other): Eyes hurt

2021-03-13

Systemic reaction (other): Uneasy stomach

2021-03-15

Systemic reaction (other): Fever blister

2021-03-16

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

FieldPreferred term2021-092023-042024-11
SDPain in jaw ✓ ✓ ✓
SDToothache ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SROAnimal bite ✓ · ✓
SROBack pain ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROFlank pain ✓ ✓ ✓
SROHeadache ✓ · ✓
SROInjury ✓ · ✓
SROInsomnia ✓ · ✓
SRONeuralgia ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROPain ✓ · ✓
SROPain in extremity ✓ ✓ ✓
SROUnevaluable event ○ ✓ ○

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