44M-25258-65009
4 vaccinations
10 coded responses
50 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 763 / TX
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
-
2021-01-27
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: FairFree text: I just received less than an hour ago!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-04
Dose 2 — Moderna
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Sinus headache — Feeling: Fair · Site: Pain · Headache · Be unable to workFree text: More of a sinus headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Sensitivity to weather change, Sinus headache — Feeling: Fair · HeadacheFree text: Sinus headache because of weather!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-02
- 2021-04-08
- 2021-04-16
- 2021-06-03
- 2021-09-02
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: Allergies, turned in to Bronchitis 2 weeks prior which may be the reason for the tiredness.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Good · HeadacheFree text: AllergiesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Fair · HeadacheFree text: Headache may be from AllergiesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-12
- 2022-01-28
- 2022-10-29
-
2022-12-08
Dose 4 — Moderna
- 2022-12-08
-
2022-12-09
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain, Stomatitis — Feeling: Fair · Fatigue or tirednessFree text: A little sore throat and a mouth sore on roof of mouth.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-10
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Oropharyngeal pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Started to get a sore throat. A little pain around injection area.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-11
-
2022-12-14
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Fair · Headache, DiarrheaFree text: These took place during the night last night about 4 hours.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Survey response — day 7, dose 4MedDRA: Sinus headache — Feeling: Fair · Site: Pain · HeadacheFree text: Sinus type headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-12-22
- 2022-12-29
- 2023-01-07
- 2023-01-12
- 2023-01-21
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-12-08 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): I just received less than an hour ago!
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): More of a sinus headache
Systemic reaction (other): Sinus headache because of weather!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Allergies, turned in to Bronchitis 2 weeks prior which may be the reason for the tiredness.
Systemic reaction (other): Allergies
Systemic reaction (other): Headache may be from Allergies
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): A little sore throat and a mouth sore on roof of mouth.
Systemic reaction (other): Started to get a sore throat. A little pain around injection area.
Systemic reaction (other): These took place during the night last night about 4 hours.
Release 12 — day 7, dose 4
Systemic reaction (other): Sinus type headache
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Sensitivity to weather change | ✓ | ✓ | ✓ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
| SRO | Stomatitis | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release