4JH-14854-41619
5 vaccinations
5 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 761 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Pain, Self-medication — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: At 10 hrs post vaccine i experienced chills and aches; nothing prior. At 20 hr post vaccine no chills no aches- modersate fatigue only . Tx 2 extra strength tylenol at hr 10 and hr 20 and hour 28 post vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness postural — Feeling: GoodFree text: Dizziness getting out of bed middle of night, not normal for me. Lasted 30 seconds and reaolved. Happened x2 .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-03
-
2021-08-20
Dose 3 — Moderna
- 2021-11-19
- 2022-02-18
-
2022-04-07
Dose 4 — Moderna
-
2022-04-14
Survey response — day 7, dose 4MedDRA: Body temperature increased, Injection site pain, Pain, Self-medication — Feeling: GoodFree text: At time of shot- lst 24 hrs ache at site, temp 99.4 and achy beginning at 10 hr after shot treated w xstrength tylenolMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-13
- 2022-05-19
- 2022-07-07
-
2022-09-30
Dose 5 — Moderna
- 2022-10-06
-
2022-10-06
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Injection site pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Day of injection pain injection site a 1 on scale1-10, 1 most mild. 80hrs post injection extreme fatigue x 3.5 hr, then back to normal. No fatigue injection to hour 79.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-08
Health check-in — day 7, dose 5Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-14
- 2022-10-21
- 2022-10-29
- 2022-11-04
- 2022-11-11
- 2022-12-30
-
2023-03-31
Survey response — 6 months, dose 5MedDRA: Hypothyroidism — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-08-20 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-09-30 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): At 10 hrs post vaccine i experienced chills and aches; nothing prior. At 20 hr post vaccine no chills no aches- modersate fatigue only . Tx 2 extra strength tylenol at hr 10 and hr 20 and hour 28 post vaccine
Systemic reaction (other): Dizziness getting out of bed middle of night, not normal for me. Lasted 30 seconds and reaolved. Happened x2 .
Release 11 — day 7, dose 4
Systemic reaction (other): At time of shot- lst 24 hrs ache at site, temp 99.4 and achy beginning at 10 hr after shot treated w xstrength tylenol
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Day of injection pain injection site a 1 on scale1-10, 1 most mild. 80hrs post injection extreme fatigue x 3.5 hr, then back to normal. No fatigue injection to hour 79.
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 | Hypothyroidism | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness postural | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release