4XG-31008-15969
3 vaccinations
4 coded responses
28 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 752 / TX
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-05
-
2021-01-12
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: GoodFree text: Injection site started itching and got red, swollen and warm, plus it was tender again. Almost gone now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
- 2021-07-27
-
2021-10-22
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessFree text: Just felt a bit "out of it" for the first 2 days after. Better nowMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessFree text: Brain fog but not sure it's the boosterMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-11-05
- 2021-11-14
- 2021-11-20
- 2021-11-28
- 2021-12-03
- 2022-01-23
-
2022-04-22
Survey response — 6 months, dose 3MedDRA: Fall — Feeling: GoodFree text: I've fallen a couple of times - once during an ice storm and once slipping off the floorboards of our SUV to a seated position on the ground. Maybe just stupid on my part and not paying enough attention, but disturbing still.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 1 — day 14, dose 1
Symptoms: Injection site started itching and got red, swollen and warm, plus it was tender again. Almost gone now.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just felt a bit "out of it" for the first 2 days after. Better now
Systemic reaction (other): Brain fog but not sure it's the booster
Release 11 — 6 months, dose 3
Symptoms: I've fallen a couple of times - once during an ice storm and once slipping off the floorboards of our SUV to a seated position on the ground. Maybe just stupid on my part and not paying enough attention, but disturbing still.
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 | Fall | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release