53V-73009-33718
3 vaccinations
8 coded responses
38 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 782 / TX
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
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2021-01-11
Dose 1 — Moderna
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2021-01-11
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
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2021-01-25
Survey response — day 14, dose 1MedDRA: Chills, Pain — Feeling: FairFree text: Body aches ,ChillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — day 21, dose 1MedDRA: Chills — Feeling: GoodFree text: ChillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Dose 2 — Moderna
- 2021-02-08
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat — Feeling: Fair · Headache, Nausea · Be unable to workFree text: Cold sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
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2021-10-22
Dose 3 — Moderna
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness · Muscle or body achesFree text: Armpit pain and swelling in same arm of shotMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Swelling under the armpit ,MedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
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2022-01-21
Survey response — 3 months, dose 3MedDRA: Back pain, Headache, Respiratory tract congestion, Throat irritation — Feeling: Good · Be unable to work or attend schoolFree text: Headaches & back aches , congestion - throat itchyMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
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2022-10-22
Survey response — 12 months, dose 3MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Fever headaches body aches fatigue cough sore throatMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Dizziness
Release 2 — day 14, dose 1
Symptoms: Body aches ,Chills
Release 3 — day 21, dose 1
Symptoms: Chills
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Cold sweats
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Armpit pain and swelling in same arm of shot
Systemic reaction (other): Swelling under the armpit ,
Release 11 — 3 months, dose 3
Symptoms: Headaches & back aches , congestion - throat itchy
Release 12 — 12 months, dose 3
Symptoms: Fever headaches body aches fatigue cough sore throat
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 | Back pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release