4SV-32575-57191
3 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
-
2021-01-04
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
-
2021-01-25
Survey response — day 21, dose 1MedDRA: Nasopharyngitis — Feeling: FairFree text: Common cold symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Dose 2 — Moderna
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Facial pain, Hyperhidrosis, Self-medication — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Day of inj I was out of it, my temp went up, aches mostly my face. The aches were so bad that they woke me. I had to take tylenol 500mg. The aches went away and i woke soaking wet having perspired through all my clothes and bedding. Sunday night my facial aches returned, milder but still bothersome.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-03-13
- 2021-05-01
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2021-07-31
Survey response — 6 months, dose 2MedDRA: Breast cyst — Feeling: GoodFree text: Found a breast cyst in my left breast. Benign per the radiologist.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-09
Dose 3 — Moderna
- 2022-01-30
- 2022-03-10
- 2022-06-09
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2022-12-11
Survey response — 12 months, dose 3MedDRA: Ageusia, Anosmia, Decreased appetite, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: GoodFree text: Possible flu or covid. Sore throat for a few days, mild fever, mild loss of taste and smell. Some loss of appetite. Fatigue.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-12-09 | Moderna | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): None
Release 2 — day 21, dose 1
Symptoms: Common cold symptoms
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Day of inj I was out of it, my temp went up, aches mostly my face. The aches were so bad that they woke me. I had to take tylenol 500mg. The aches went away and i woke soaking wet having perspired through all my clothes and bedding. Sunday night my facial aches returned, milder but still bothersome.
Release 9 — 6 months, dose 2
Symptoms: Found a breast cyst in my left breast. Benign per the radiologist.
Release 12 — 12 months, dose 3
Symptoms: Possible flu or covid. Sore throat for a few days, mild fever, mild loss of taste and smell. Some loss of appetite. Fatigue.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Breast cyst | ✓ | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release