4C8-19465-79385
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 782 / TX
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Registered in v-safe
-
2021-04-14
Dose 1 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia, Flatulence — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Gas, indigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: GoodFree text: Not sure if its related or not, have been experiencing a tickling/chill type sensation which grows and creeps up from my left ear towards the top of my head several times today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: GoodFree text: Intermittent Tingling sensation on scalp, less than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-28
- 2021-05-05
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2021-05-21
Dose 2 — Moderna
- 2021-05-25
- 2021-05-27
- 2021-05-28
- 2021-06-13
- 2021-06-18
- 2021-07-04
-
2021-08-20
Survey response — 3 months, dose 2MedDRA: Arthralgia, Asthenia, Back pain, Chest discomfort, Fatigue, Headache, Increased need for sleep, Myalgia, Pre-existing disease, Pulmonary congestion, Respiratory tract congestion, Sciatica — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache, muscle aches, back and shoulder muscles ache, sciatica flare up, congestion, decreased energy, sleeping more, tired, lung tightness, lungs feel congestedMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Gas, indigestion
Systemic reaction (other): Not sure if its related or not, have been experiencing a tickling/chill type sensation which grows and creeps up from my left ear towards the top of my head several times today.
Systemic reaction (other): Intermittent Tingling sensation on scalp, less than yesterday
Release 9 — 3 months, dose 2
Symptoms: Headache, muscle aches, back and shoulder muscles ache, sciatica flare up, congestion, decreased energy, sleeping more, tired, lung tightness, lungs feel congested
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Asthenia | ✓ | · | ✓ |
| SD | Back pain | ✓ | · | ✓ |
| SD | Chest discomfort | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Increased need for sleep | ✓ | · | ✓ |
| SD | Myalgia | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pulmonary congestion | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Sciatica | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release