44M-61865-38295
5 vaccinations
10 coded responses
64 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 780 / TX
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-08
Registered in v-safe
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Contusion — Feeling: GoodFree text: Small bruise on arm of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Contusion — Feeling: GoodFree text: Bruise mentioned yesterday was from band aid appliedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-20
- 2021-01-27
- 2021-02-03
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body achesFree text: Muscle pain is minor and only on touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold — Feeling: Good · Site: Redness, SwellingFree text: Chilly, but not chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-19
Survey response — day 14, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: stomach and loose bowelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-20
- 2021-05-07
- 2021-08-06
-
2021-10-27
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
-
2022-05-25
Dose 4 — Moderna
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-08
- 2022-06-15
-
2022-06-22
Survey response — day 28, dose 4MedDRA: Arthropod bite, Pain, Pruritus — Feeling: FairFree text: Got 3 red ant stings on my right forearm yesterday while doing some yard work. Still coping with sting/itch.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-29
- 2022-07-06
- 2022-08-24
-
2022-10-10
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
-
2022-10-15
Survey response — days 1–6 daily, dose 5MedDRA: Pre-existing disease — Feeling: GoodFree text: Sniffles and slight cough, pre-flu and Pfizer injections--cold began week before shots and seemed to end mid-week before shotsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-16
Survey response — days 1–6 daily, dose 5MedDRA: Cough — Feeling: GoodFree text: Cough-not relatedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
-
2022-11-21
Survey response — day 42, dose 5MedDRA: Office visit, Productive cough, SARS-CoV-2 test negative, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: UTI (first in many years)--using antibiotic to treat from PCP Also have slight cough with small amount of phlegm · Healthcare visit (other): Covid self-test 11/17/2022...NegativeMedDRA releases: 2024-11 · check-in free text available
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2022-11-21
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-22
-
2022-11-23
Call successfulNot applicable - Accidental Reporting
- 2023-01-09
-
2023-04-10
Survey response — 6 months, dose 5MedDRA: Dizziness, Lethargy, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-25 | Moderna | No |
| 5 | 2022-10-10 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Small bruise on arm of injection
Systemic reaction (other): Bruise mentioned yesterday was from band aid applied
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle pain is minor and only on touch.
Systemic reaction (other): Chilly, but not chills
Release 4 — day 14, dose 2
Symptoms: stomach and loose bowels
Release 12 — day 28, dose 4
Symptoms: Got 3 red ant stings on my right forearm yesterday while doing some yard work. Still coping with sting/itch.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sniffles and slight cough, pre-flu and Pfizer injections--cold began week before shots and seemed to end mid-week before shots
Systemic reaction (other): Cough-not related
Release 12 — day 42, dose 5
Symptoms: UTI (first in many years)--using antibiotic to treat from PCP Also have slight cough with small amount of phlegm
Healthcare visit (other): Covid self-test 11/17/2022...Negative
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 | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Arthropod bite | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release