4B6-29231-96578
4 vaccinations
10 coded responses
27 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 778 / TX
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: This reporting is for my second shot! App does not give me option to correct errorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: This report is based on both my Covid injections:2/5/21 and 3-2/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
-
2021-03-12
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: This is my second shot 3/5, first shot 2/3/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-28
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-06-28
-
2021-08-27
Dose 3 — Moderna
- 2021-09-27
- 2022-03-29
-
2022-04-08
Dose 4 — Moderna
-
2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction, Cough, Discharge, Rhinorrhoea — Feeling: Fair · Site: Itching · Muscle or body achesFree text: Allergy like symptoms: cough, runny nose, clear drainageMedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Survey response — day 7, dose 4MedDRA: Cough — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Terrible coughMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Survey response — day 14, dose 4MedDRA: Bronchitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: BronchitisMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-25
- 2022-04-29
-
2022-05-06
Survey response — day 28, dose 4MedDRA: Cough, Diarrhoea, Headache, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Horrible congestion, cough, fever and tested positive for covid and Diaherra Body aches, headachesMedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Report sent to call center — day 28, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-10
- 2022-05-10
- 2022-05-11
- 2022-05-12
- 2022-05-12
- 2022-05-13
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2022-05-20
Survey response — day 42, dose 4MedDRA: Asthenia, Headache, Insomnia — Feeling: PoorFree text: Headaches and lack of energy /sleepMedDRA releases: 2024-11 · check-in free text available
- 2022-07-08
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2023-04-08
Survey response — 12 months, dose 4MedDRA: Alopecia, COVID-19, Cough, Rheumatoid arthritis, Rhinorrhoea, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-08
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-11
- 2023-04-11
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-08-27 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): This reporting is for my second shot! App does not give me option to correct error
Systemic reaction (other): This report is based on both my Covid injections:2/5/21 and 3-2/21
Release 5 — day 7, dose 1
Systemic reaction (other): This is my second shot 3/5, first shot 2/3/21
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Allergy like symptoms: cough, runny nose, clear drainage
Release 11 — day 7, dose 4
Systemic reaction (other): Terrible cough
Release 11 — day 14, dose 4
Symptoms: Bronchitis
Release 11 — day 28, dose 4
Symptoms: Horrible congestion, cough, fever and tested positive for covid and Diaherra Body aches, headaches
Release 11 — day 42, dose 4
Symptoms: Headaches and lack of energy /sleep
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 | Unevaluable event | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rheumatoid arthritis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Discharge | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release