4H3-89525-75947
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 774 / TX
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TZR-24763-38287
Child or adolescent in my care · Male · 2021-11-12
Timeline
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2021-03-10
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
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2021-04-07
Survey response — day 28, dose 1MedDRA: Dizziness, Fatigue, Headache, Injection site pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: *Late registering/reporting, so filling in blanks.*Mild sore arm and at site of injection for 3 days. (like vigorous exercise). No other symptoms.5 days after 1st dose: fatigue, dizzy, headache. (Same time, menstruating and oak allergy starts)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Dose 2 — Moderna
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2021-04-08
Survey response — day 0, dose 2MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: PainFree text: Came too close to fainting 2-3 min after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just injection site muscle pain keeping me from rotating my shoulder, but livableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Feeling of body temperature change — Feeling: Good · Site: Pain · ChillsFree text: No fever or actual temp change, but feeling like temperature was not regulating. Needed warmth then overheating. This went away by morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-21
- 2021-07-08
- 2021-10-08
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Free text
Release 7 — day 28, dose 1
Symptoms: *Late registering/reporting, so filling in blanks.*Mild sore arm and at site of injection for 3 days. (like vigorous exercise). No other symptoms.5 days after 1st dose: fatigue, dizzy, headache. (Same time, menstruating and oak allergy starts)
Release 7 — day 0, dose 2
Systemic reaction (other): Came too close to fainting 2-3 min after injection.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Just injection site muscle pain keeping me from rotating my shoulder, but livable
Systemic reaction (other): No fever or actual temp change, but feeling like temperature was not regulating. Needed warmth then overheating. This went away by morning.
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release