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
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-04
- 2021-01-05
-
2021-01-14
Survey response — day 14, dose 1MedDRA: Arthritis, Hypersomnia, Pre-existing disease — Feeling: GoodFree text: Just more arthritic discomfort in all my arthritis areas the last 4 days. Otherwise have energy and feel normal. Sleeping heavierMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Ear discomfort, Self-medication, Throat irritation — Feeling: Good · Site: ItchingFree text: Itching was in my throat and ears for about 3 hours in the early morning. Cleared with benadrylMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-07-27
-
2022-01-26
Survey response — 12 months, dose 2MedDRA: COVID-19, Fatigue, Rhinorrhoea — Feeling: GoodFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Free text
Release 1 — day 14, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release