4EW-16231-34254
4 vaccinations
7 coded responses
29 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 785 / TX
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper — Feeling: GoodFree text: mild cramps at bottom of stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
-
2021-01-22
Health check-in — day 7, dose 1Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
-
2021-02-17
Survey response — day 7, dose 2MedDRA: Chillblains, Pyrexia — Feeling: Good · Site: RednessFree text: Had mild chills & low grade fever on the 11th of Feb, 2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
-
2021-08-11
Survey response — 6 months, dose 2MedDRA: Colitis ulcerative — Feeling: Good · 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: Diagnosed with Ulcerative Colitus a month agoMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-11
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-18
Dose 3 — Moderna
- 2021-08-18
-
2021-11-17
Survey response — 3 months, dose 3MedDRA: Arthralgia, Colitis ulcerative — Feeling: Good · 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: Diagnosed in July with severe ulcerative colitis. Also have had pain in the back of left knee for several months. Have not had UC flare up since this summer. Scheduled for lab work & Gastroentrologist at end of month.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-17
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-18
- 2022-02-16
-
2022-04-08
Dose 4 — Moderna
-
2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Headache, Fatigue or tirednessAdult check-in
-
2022-04-15
Survey response — day 7, dose 4MedDRA: Paraesthesia — Feeling: Good · HeadacheFree text: Right Leg tingling sensationMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Survey response — day 14, dose 4MedDRA: Arthralgia, Myalgia — Feeling: FairFree text: Terrible pain in my joints & muscles.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Survey response — day 21, dose 4MedDRA: Arthralgia, Myalgia, Pain — Feeling: PoorFree text: Behind right leg, muscles & joints are very achy & painful to get out of bed in the mornings. As the day wears on, pain is more tolerable.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-08-18 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): mild cramps at bottom of stomach
Release 4 — day 7, dose 2
Systemic reaction (other): Had mild chills & low grade fever on the 11th of Feb, 2021
Release 9 — 6 months, dose 2
Symptoms: Diagnosed with Ulcerative Colitus a month ago
Release 10 — 3 months, dose 3
Symptoms: Diagnosed in July with severe ulcerative colitis. Also have had pain in the back of left knee for several months. Have not had UC flare up since this summer. Scheduled for lab work & Gastroentrologist at end of month.
Release 11 — day 7, dose 4
Systemic reaction (other): Right Leg tingling sensation
Release 11 — day 14, dose 4
Symptoms: Terrible pain in my joints & muscles.
Release 11 — day 21, dose 4
Symptoms: Behind right leg, muscles & joints are very achy & painful to get out of bed in the mornings. As the day wears on, pain is more tolerable.
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 | Colitis ulcerative | ✓ | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Chillblains | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release