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4S2-19081-36628

3 vaccinations 11 coded responses 41 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
795 / TX
Registered
2021-01-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Registered in v-safe
  2. 2021-01-25
    Dose 1 — Moderna
  3. 2021-01-25
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Palpitations — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Heart racing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  8. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-15
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Allergies, joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-22
    Survey response — day 28, dose 1
    MedDRA: Nasopharyngitis, Sinusitis — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Head cold and sinus infection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-24
    Dose 2 — Moderna
  15. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Increased heart rate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Increased heart rate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Nausea
    Adult check-in
  19. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-08-25
    Survey response — 6 months, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Persistent pain behind left temple.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-11-05
    Dose 3 — Moderna
  31. 2021-11-05
    Health check-in — day 0, dose 3
    Feeling: Good · Headache
    Adult check-in
  32. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dyspnoea, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: The swelling was the whole upper side of body on injection side. Shortness of breath/ difficult breathing
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Decreased appetite, Dizziness, Respiratory arrest — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I stopped breathing in my sleep a couple of times last night. Dizzy. Haven't been eating.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness, Heart rate increased, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches
    Free text: Dizzy. Swollen glands underarm hurt so bad. The past two days, i forgot to add my heart rate spikes above 100 and stays elevated even while sleeping. Today it finally went back down
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Free text: Dizzy
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness, Flushing — Feeling: Fair · Site: Redness, Swelling · Headache, Diarrhea
    Free text: Dizzy....flush when doing Yoga, and not usually like that
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  41. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Poor
    Adult check-in
  43. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-11-05
    Health check-in — 12 months, dose 3
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-24Moderna
32021-11-05Moderna No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Heart racing

Release 4 — day 21, dose 1

2021-02-15

Symptoms: Allergies, joint pain

Release 4 — day 28, dose 1

2021-02-22

Symptoms: Head cold and sinus infection.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Increased heart rate

2021-02-26

Systemic reaction (other): Increased heart rate

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Persistent pain behind left temple.

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): The swelling was the whole upper side of body on injection side. Shortness of breath/ difficult breathing

2021-11-07

Systemic reaction (other): I stopped breathing in my sleep a couple of times last night. Dizzy. Haven't been eating.

2021-11-08

Systemic reaction (other): Dizzy. Swollen glands underarm hurt so bad. The past two days, i forgot to add my heart rate spikes above 100 and stays elevated even while sleeping. Today it finally went back down

2021-11-09

Systemic reaction (other): Dizzy

2021-11-11

Systemic reaction (other): Dizzy....flush when doing Yoga, and not usually like that

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
SDArthralgia ✓ ✓ ✓
SDHeadache ✓ · ✓
SDHypersensitivity ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SRODecreased appetite · · ✓
SRODizziness · · ✓
SRODyspnoea · · ✓
SROFlushing · · ✓
SROHeart rate increased ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROPalpitations ✓ ✓ ✓
SRORespiratory arrest · · ✓
SROSwelling · · ✓

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