3X4-46088-50061
5 vaccinations
7 coded responses
35 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 799 / TX
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
-
2021-01-18
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Fatigue or tirednessFree text: WoozyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-27
- 2021-02-01
- 2021-02-16
- 2021-02-25
-
2021-03-02
Dose 2 — Moderna
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: GoodFree text: TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-11
- 2021-03-16
- 2021-03-23
-
2021-03-30
Survey response — day 28, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Gleam, and runny nose. Maybe allergies?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-14
- 2021-06-01
- 2021-08-31
-
2021-10-03
Dose 3 — Moderna
- 2021-10-26
- 2021-11-01
- 2021-11-09
- 2021-11-16
-
2022-01-02
Survey response — 3 months, dose 3MedDRA: Back disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Back problems between L4 and L5. I have an appt. with orthopedic dr. On the 19th of January.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-03
Survey response — 6 months, dose 3MedDRA: Intervertebral disc compression, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I had two discs in my spine collapsed, I had surgery.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-03
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-04-09
Dose 4 — Moderna
- 2022-04-12
- 2022-04-13
-
2022-04-13
Callback requested for07:30PM ET
- 2022-05-14
- 2022-05-23
-
2022-07-09
Survey response — 3 months, dose 4MedDRA: Cough, Gait disturbance, Posture abnormal, Spinal operation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had surgery on L4 and L5 the pain is gone but I can't walk well I tend to hunch. Also I develop a cough that is annoying very drive and is hard to stop.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-02
Dose 5 — ModernaCo-administered: Flu
- 2022-09-28
- 2022-09-30
-
2022-10-09
Survey response — day 35, dose 5MedDRA: Cough — Feeling: GoodFree text: A dry cough that comes out of the blue. It is very difficult to stop coughing, unless I sip a bit of water. What do you think I have? Please respond.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-12-06
- 2023-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-03 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
| 5 | 2022-09-02 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Woozy
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Tired
Release 6 — day 28, dose 2
Symptoms: Gleam, and runny nose. Maybe allergies?
Release 10 — 3 months, dose 3
Symptoms: Back problems between L4 and L5. I have an appt. with orthopedic dr. On the 19th of January.
Release 11 — 6 months, dose 3
Symptoms: I had two discs in my spine collapsed, I had surgery.
Release 12 — 3 months, dose 4
Symptoms: I had surgery on L4 and L5 the pain is gone but I can't walk well I tend to hunch. Also I develop a cough that is annoying very drive and is hard to stop.
Release 12 — day 35, dose 5
Symptoms: A dry cough that comes out of the blue. It is very difficult to stop coughing, unless I sip a bit of water. What do you think I have? Please respond.
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 | Back disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Intervertebral disc compression | · | · | ✓ |
| SD | Posture abnormal | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Spinal operation | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release