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4H9-15097-12134

2 vaccinations 3 coded responses 14 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
774 / TX
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Arthritis, Hypersomnia, Pre-existing disease — Feeling: Good
    Free text: Just more arthritic discomfort in all my arthritis areas the last 4 days. Otherwise have energy and feel normal. Sleeping heavier
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-26
    Dose 2 — Moderna
  13. 2021-01-26
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear discomfort, Self-medication, Throat irritation — Feeling: Good · Site: Itching
    Free text: Itching was in my throat and ears for about 3 hours in the early morning. Cleared with benadryl
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-07-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-01-26
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Fatigue, Rhinorrhoea — Feeling: Good
    Free text: I had covid dec 23. Only symptoms were nasal drip for one day and some evening fatigue for 4 days. No other symptoms or restrictions. It was my vacation but i wouldve been off work 5 days.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Free text

Release 1 — day 14, dose 1

2021-01-14

Symptoms: Just more arthritic discomfort in all my arthritis areas the last 4 days. Otherwise have energy and feel normal. Sleeping heavier

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Itching was in my throat and ears for about 3 hours in the early morning. Cleared with benadryl

Release 11 — 12 months, dose 2

2022-01-26

Symptoms: I had covid dec 23. Only symptoms were nasal drip for one day and some evening fatigue for 4 days. No other symptoms or restrictions. It was my vacation but i wouldve been off work 5 days.

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
SDArthritis ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDHypersomnia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinorrhoea · · ✓
SROEar discomfort ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓

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