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47W-91016-34442

3 vaccinations 6 coded responses 38 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
750 / TX
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus, Respiratory tract congestion, Self-medication — Feeling: Fair
    Free text: Bad hay fever-like symptoms, worse than usual. Itchy eyes, congestion. Took benedryl to improve symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Eye pruritus, Nasal congestion, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Only hay fever symptoms, itchy eyes, congested runny nose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Seasonal allergy — Feeling: Good
    Free text: Hay fever symptoms better today without antihistamines
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-09
    Dose 2 — Moderna
  12. 2021-02-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-16
    Survey response — day 7, dose 2
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Noticed rash on neck the last few days. Thought it was just rubbing from my shirt, but thought id mention it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-22
    Dose 3 — Moderna
  28. 2021-10-22
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site warmth — Feeling: Fair · Site: Redness · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: Warmth at injection site
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Body temperature increased, Injection site warmth — Feeling: Good · Fever
    Free text: 1 degree above my normal temp. Slight warmth at injection site.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-10-24
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna
32021-10-22Moderna No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Bad hay fever-like symptoms, worse than usual. Itchy eyes, congestion. Took benedryl to improve symptoms.

2021-01-17

Systemic reaction (other): Only hay fever symptoms, itchy eyes, congested runny nose.

2021-01-18

Systemic reaction (other): Hay fever symptoms better today without antihistamines

Release 4 — day 7, dose 2

2021-02-16

Systemic reaction (other): Noticed rash on neck the last few days. Thought it was just rubbing from my shirt, but thought id mention it.

Release 10 — days 1–6 daily, dose 3

2021-10-23

Systemic reaction (other): Warmth at injection site

2021-10-24

Systemic reaction (other): 1 degree above my normal temp. Slight warmth at injection site.

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
SROAdverse reaction ✓ · ✓
SROBody temperature increased · · ✓
SROEye pruritus ✓ ✓ ✓
SROInjection site warmth · · ✓
SRONasal congestion ○ ✓ ○
SROPyrexia ○ ✓ ○
SRORash ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSeasonal allergy ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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

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