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4G3-32389-84553

4 vaccinations 13 coded responses 37 check-ins 13 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
755 / TX
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Moderna
  3. 2021-03-10
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Where I received the injection is just a little sore if I happen to rub it or bump it. But, no more than any other injection, say like flu shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-17
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-07
    Dose 2 — Moderna
  14. 2021-04-07
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Diarrhea
    Adult check-in
  16. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: The joint pain is in my shoulders but it could be just my arthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-20
    Dose 3 — Moderna
  30. 2022-04-08
    Survey response — 12 months, dose 2
    MedDRA: Cancer surgery, Hospitalisation, Renal cancer, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: In Feb I was found to have a cancerous mass on my Kidney. It was removed. They got it all and I didn't have to have treatments. They will do scans every 6 months. This had nothing to do with my vacanitions. · Healthcare visit (other): Had surgery! Was in hospital for a week and couldn't lift anything over 10 lbs for 6 weeks.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-04-08
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Hospitalization · 1 call case(s)
  32. 2022-04-12
  33. 2022-05-02
    Dose 4 — Moderna
  34. 2022-05-03
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-05-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-05-09
    Survey response — day 7, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-05-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-30
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-06-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-08-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-11-01
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2023-05-03
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna
32021-11-20Moderna No
42022-05-02Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Where I received the injection is just a little sore if I happen to rub it or bump it. But, no more than any other injection, say like flu shot.

2021-03-12

Systemic reaction (other): None

2021-03-13

Systemic reaction (other): None

2021-03-15

Systemic reaction (other): None

2021-03-16

Systemic reaction (other): None

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): None

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): The joint pain is in my shoulders but it could be just my arthritis

2021-04-11

Systemic reaction (other): None

2021-04-12

Systemic reaction (other): None

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: In Feb I was found to have a cancerous mass on my Kidney. It was removed. They got it all and I didn't have to have treatments. They will do scans every 6 months. This had nothing to do with my vacanitions.
Healthcare visit (other): Had surgery! Was in hospital for a week and couldn't lift anything over 10 lbs for 6 weeks.

Release 11 — days 1–6 daily, dose 4

2022-05-03

Systemic reaction (other): No

Release 11 — day 7, dose 4

2022-05-09

Systemic reaction (other): No

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
HCVOHospitalisation · · ✓
HCVOSurgery · · ✓
SDCancer surgery · · ✓
SDRenal cancer · · ✓
SROArthralgia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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