4PV-93350-89078
5 vaccinations
7 coded responses
57 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
- 2021-02-09
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold — Feeling: GoodFree text: Cold from power outageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-23
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Slight rash around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-15
- 2021-03-16
- 2021-03-23
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2021-03-30
Survey response — day 21, dose 2MedDRA: Blood glucose increased, Office visit — Feeling: GoodFree text: My blood sugar has been high and is just now getting back to normal ranges. I didnt originally attribute this to the shots. At my follow up with my doctor he said he had heard this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
-
2021-04-20
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: I have been having headaches. I dont know if it is the vaccine or my new medicationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-09-09
-
2021-10-22
Dose 3 — ModernaCo-administered: Flu
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
-
2021-11-24
Survey response — day 28, dose 3MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-12-03
- 2022-01-23
-
2022-04-03
Dose 4 — Moderna
- 2022-04-03
-
2022-04-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2022-04-06
-
2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Blood glucose increased — Feeling: GoodFree text: Noticed my blood sugar is higher than normalMedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Survey response — days 1–6 daily, dose 4MedDRA: Blood glucose increased — Feeling: GoodFree text: Blood sugar is reading higher than normalMedDRA releases: 2024-11 · check-in free text available
- 2022-04-09
- 2022-04-10
- 2022-04-17
- 2022-04-24
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-07-05
-
2022-09-07
Dose 5 — Moderna
- 2022-09-13
- 2022-09-14
- 2022-09-21
- 2022-09-30
- 2022-10-07
- 2022-10-12
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-10-22 | Moderna | Flu |
| 4 | 2022-04-03 | Moderna | No |
| 5 | 2022-09-07 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Cold from power outage
Release 4 — day 14, dose 1
Symptoms: Slight rash around injection site
Release 6 — day 21, dose 2
Symptoms: My blood sugar has been high and is just now getting back to normal ranges. I didnt originally attribute this to the shots. At my follow up with my doctor he said he had heard this.
Release 7 — day 42, dose 2
Symptoms: I have been having headaches. I dont know if it is the vaccine or my new medication
Release 10 — day 28, dose 3
Symptoms: Headache
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Noticed my blood sugar is higher than normal
Systemic reaction (other): Blood sugar is reading higher than normal
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 | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release