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3ZH-20820-05710

4 vaccinations 5 coded responses 41 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
786 / TX
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
2SE-32440-60751 Child or adolescent in my care · Male · 2021-11-06

Timeline

  1. 2021-02-24
    Dose 1 — Moderna
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Only muscle soreness where shot was administered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Headache, Injection site pain, Insomnia, Myalgia, Neck pain, Pain in extremity — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Last night, I had a mild headache, some muscle soreness in my arm & neck, and was more tired than usual; however, I had also not slept well the night before. So, I'm not sure what caused these symptoms. As of this afternoon, the headache, injection site soreness, & tiredness have mostly gone away, but the soreness in my neck muscles remain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-24
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-25
    Dose 2 — Moderna
  14. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia — Feeling: Good · Site: Pain, Redness · Muscle or body aches
    Free text: Neck muscles ached after both shots for about 24-48 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site mass, Injection site nodule — Feeling: Good · Site: Swelling
    Free text: I noticed a lump/knot at the injection site. It may have been there since the shot, but I hadn't touched that area since the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-05
    Dose 3 — Pfizer-BioNTech
  30. 2021-11-05
    Health check-in — day 0, dose 3
    Feeling: Good · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  31. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Soreness under arm and armpit that received the shot
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Diarrhea
    Adult check-in
  36. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-11-05
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2023-01-13
    Dose 4 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Moderna
22021-03-25Moderna
32021-11-05Pfizer-BioNTech No
42023-01-13Pfizer-BioNTech No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Only muscle soreness where shot was administered.

2021-02-26

Systemic reaction (other): Last night, I had a mild headache, some muscle soreness in my arm & neck, and was more tired than usual; however, I had also not slept well the night before. So, I'm not sure what caused these symptoms. As of this afternoon, the headache, injection site soreness, & tiredness have mostly gone away, but the soreness in my neck muscles remain.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Neck muscles ached after both shots for about 24-48 hours.

2021-03-29

Systemic reaction (other): I noticed a lump/knot at the injection site. It may have been there since the shot, but I hadn't touched that area since the shot.

Release 10 — days 1–6 daily, dose 3

2021-11-08

Systemic reaction (other): Soreness under arm and armpit that received the shot

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
SROAxillary pain · · ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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