454-75797-87281
5 vaccinations
4 coded responses
45 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 782 / TX
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-04
- 2021-02-09
- 2021-02-16
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — day 7, dose 2MedDRA: Blood glucose increased — Feeling: Fair · Fever · Fatigue or tirednessFree text: a.m. fasting glucose was high 163MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — day 14, dose 2MedDRA: Discomfort, Headache, Pain in jaw — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headache concentrated at left temple. Discomfort at Carotid artery radiating up to jaw and left temple.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-27
- 2021-04-01
- 2021-04-09
- 2021-05-27
- 2021-08-26
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-25
-
2021-12-01
Survey response — day 35, dose 3MedDRA: Emergency care, Headache, Hypoacusis, Visual impairment, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Headaches; decline in vision and additional floaters. Cataract surgery sceduled for 12/29/21. Decline in hearing. · Healthcare visit (other): Emergency visit to ophthalmogist.oMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-02
- 2021-12-02
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Cataract operation, Respiratory tract congestion, Secretion discharge — Feeling: GoodFree text: Lot's of mucous/congestion between pharnyx snd larynx...allergies ...I think! Had cataract surgery on December 29th, 2021.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-05
Dose 4 — Moderna
- 2022-04-27
- 2022-05-18
- 2022-07-05
-
2022-09-19
Dose 5 — Pfizer-BioNTech
- 2022-09-20
-
2022-09-23
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-05
- 2022-10-11
- 2022-10-24
- 2022-10-31
- 2022-12-19
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 7, dose 2
Systemic reaction (other): a.m. fasting glucose was high 163
Release 5 — day 14, dose 2
Symptoms: Headache concentrated at left temple. Discomfort at Carotid artery radiating up to jaw and left temple.
Release 10 — day 35, dose 3
Symptoms: Headaches; decline in vision and additional floaters. Cataract surgery sceduled for 12/29/21. Decline in hearing.
Healthcare visit (other): Emergency visit to ophthalmogist.o
Release 11 — 3 months, dose 3
Symptoms: Lot's of mucous/congestion between pharnyx snd larynx...allergies ...I think! Had cataract surgery on December 29th, 2021.
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 | Emergency care | · | · | ✓ |
| SD | Cataract operation | · | · | ✓ |
| SD | Discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoacusis | · | · | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SD | Vitreous floaters | · | · | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release