3Z2-13980-95699
5 vaccinations
14 coded responses
48 check-ins
14 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 776 / TX
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Fatigue, Injection site pain, Insomnia — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I did not sleep well last night at all. My injection site is pretty sore since 7pm. last night. However, my arthritis pain has minimized in intensity. I am a little fatigued but need the rest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Mobility decreased — Feeling: Good · Site: PainFree text: I feel so much better. The injection site is almost painless, and I can move my arm more freely.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain, RednessFree text: I feel good! I dont know if the survey is asking if I Ever had these symptoms, if Im currently experiencing themMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-05
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2021-02-12
Survey response — day 21, dose 1MedDRA: Glossodynia, Tongue ulceration — Feeling: GoodFree text: Soreness and sores on my tongue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Just shoulder aches at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Glossodynia, Hypersensitivity, Pain in extremity, Self-medication — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: The back of my biceps and tongue soreness, sensitivity. Not sure what from. Took Tylenol and symptoms subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-05-21
Survey response — 3 months, dose 2MedDRA: Head injury, Injury, Neck injury, Office visit, Road traffic accident — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I was in a rollover car accident. Not one scratch, but my left side of my body, neck, and head were injured. · Healthcare visit (other): Bone and joint and Therapy clinics, neurological doctor, MRI testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
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2021-12-04
Dose 3 — ModernaCo-administered: Flu
- 2021-12-17
- 2021-12-18
- 2021-12-27
- 2022-01-01
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2022-01-08
Survey response — day 35, dose 3MedDRA: Back pain, Headache, Sneezing, Throat clearing — Feeling: FairFree text: Soreness in my upper back, clearing my throat often, on and off headache, sneezing. Testing for COVID todayMedDRA releases: 2024-11 · check-in free text available
- 2022-01-15
- 2022-01-21
- 2022-03-05
-
2022-04-28
Dose 4 — Moderna
- 2022-05-19
- 2022-05-26
- 2022-06-02
-
2022-06-09
Survey response — day 42, dose 4MedDRA: Ear pruritus — Feeling: GoodFree text: My ears itch and have been for a month or so and I haven't mentioned that in my other checkups-ApologiesMedDRA releases: 2024-11 · check-in free text available
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2022-07-28
Survey response — 3 months, dose 4MedDRA: Cough, Headache, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Congestion, headache, coughingMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Dose 5 — ModernaCo-administered: Flu
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2022-10-15
Survey response — days 1–6 daily, dose 5MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: My stomach may have been upset by the Powerade additive I put in my water?MedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-18
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2022-10-19
Survey response — days 1–6 daily, dose 5MedDRA: Neck pain — Feeling: Good · Muscle or body achesFree text: Neck painMedDRA releases: 2024-11 · check-in free text available
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2022-10-20
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: Neck, upper backMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — day 7, dose 5MedDRA: Back pain, Myalgia, Neck pain — Feeling: Good · Muscle or body achesFree text: Muscle aches on the side where I received my flu shot. Neck and upper back painMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-20
- 2022-11-25
- 2023-01-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-12-04 | Moderna | Flu |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-10-14 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I did not sleep well last night at all. My injection site is pretty sore since 7pm. last night. However, my arthritis pain has minimized in intensity. I am a little fatigued but need the rest.
Systemic reaction (other): I feel so much better. The injection site is almost painless, and I can move my arm more freely.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I feel good! I dont know if the survey is asking if I Ever had these symptoms, if Im currently experiencing them
Release 4 — day 21, dose 1
Symptoms: Soreness and sores on my tongue.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just shoulder aches at the injection site
Systemic reaction (other): The back of my biceps and tongue soreness, sensitivity. Not sure what from. Took Tylenol and symptoms subsided.
Release 8 — 3 months, dose 2
Symptoms: I was in a rollover car accident. Not one scratch, but my left side of my body, neck, and head were injured.
Healthcare visit (other): Bone and joint and Therapy clinics, neurological doctor, MRI test
Release 10 — day 35, dose 3
Symptoms: Soreness in my upper back, clearing my throat often, on and off headache, sneezing. Testing for COVID today
Release 11 — day 42, dose 4
Symptoms: My ears itch and have been for a month or so and I haven't mentioned that in my other checkups-Apologies
Release 12 — 3 months, dose 4
Symptoms: Congestion, headache, coughing
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): My stomach may have been upset by the Powerade additive I put in my water?
Systemic reaction (other): Neck pain
Systemic reaction (other): Neck, upper back
Release 12 — day 7, dose 5
Systemic reaction (other): Muscle aches on the side where I received my flu shot. Neck and upper back 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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear pruritus | · | · | ✓ |
| SD | Glossodynia | ✓ | ✓ | ✓ |
| SD | Head injury | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injury | ✓ | ✓ | ✓ |
| SD | Neck injury | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Road traffic accident | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat clearing | · | · | ✓ |
| SD | Tongue ulceration | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release