46Z-13804-95223
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 784 / TX
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-27
Registered in v-safe
-
2020-12-27
Dose 1 — Moderna
-
2020-12-27
Survey response — day 0, dose 1MedDRA: Cold sweat — Feeling: Fair · ChillsFree text: Clammy momentarilyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-03
-
2021-01-10
Survey response — day 14, dose 1MedDRA: Blood pressure increased, Fatigue, Hypertension, Myalgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fatigue, muscle aches, and Elevated blood pressure, diagnosedwithhypertension for the first time. Not sure if it has anything to do with vaccine or not. I'm doing well now on medication.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-17
-
2021-01-24
Dose 2 — Moderna
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-07
- 2021-02-14
- 2021-02-17
- 2021-02-21
- 2021-02-28
- 2021-03-08
- 2021-04-27
-
2021-07-25
Survey response — 6 months, dose 2MedDRA: Fatigue, Hypertension, Hypoaesthesia, Office visit, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Fatigue, high blood pressure, tingling and numbness of my extremities. Mild abnormality on EKG; no baseline for comparison, so not sure · Healthcare visit (other): Outpatient visit. Was started on Bp med.d on blood pressure medMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-27
- 2022-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-24 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Clammy momentarily
Release 1 — day 14, dose 1
Symptoms: Fatigue, muscle aches, and Elevated blood pressure, diagnosedwithhypertension for the first time. Not sure if it has anything to do with vaccine or not. I'm doing well now on medication.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Release 9 — 6 months, dose 2
Symptoms: Fatigue, high blood pressure, tingling and numbness of my extremities. Mild abnormality on EKG; no baseline for comparison, so not sure
Healthcare visit (other): Outpatient visit. Was started on Bp med.d on blood pressure med
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 | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | · | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release