56B-14530-09970
3 vaccinations
7 coded responses
21 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 765 / TX
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-06
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-08
- 2021-01-09
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-02
Dose 2 — Moderna
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: The fatigue started 6 hours after the shot and by the next morning I had every symptom except a rash. My fever was 103.2 and continued for 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Impetigo, Oral herpes — Feeling: Fair · Site: Pain, Swelling · Joint painsFree text: Fever blisters and impetigo sprang up this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Impetigo, Oral herpes — Feeling: Good · Site: PainFree text: Fever blisters and impetigo continueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — day 7, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: Still have fever blistersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 14, dose 2MedDRA: Impetigo, Oral herpes — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Continuing impetigo after fever blistersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-06
- 2021-05-24
- 2021-08-03
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2021-11-12
Dose 3 — Moderna
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2022-02-02
Survey response — 12 months, dose 2MedDRA: Cough, Headache, Pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Coughing, severe headache, and body aches.MedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-03
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2022-05-15
Survey response — 6 months, dose 3MedDRA: Diarrhoea, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Migraines and diarrhea; however, I had migraines prior to the shots. I am tested twice a week at work and we wear masks and eye protection.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Call center
3 call center cases
2 unsuccessful · 1 priority 2/3 (triaged and no follow up)
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): The fatigue started 6 hours after the shot and by the next morning I had every symptom except a rash. My fever was 103.2 and continued for 2 days.
Systemic reaction (other): Fever blisters and impetigo sprang up this morning
Systemic reaction (other): Fever blisters and impetigo continue
Release 3 — day 7, dose 2
Systemic reaction (other): Still have fever blisters
Release 4 — day 14, dose 2
Symptoms: Continuing impetigo after fever blisters
Release 11 — 12 months, dose 2
Symptoms: Coughing, severe headache, and body aches.
Release 11 — 6 months, dose 3
Symptoms: Migraines and diarrhea; however, I had migraines prior to the shots. I am tested twice a week at work and we wear masks and eye protection.
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impetigo | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Impetigo | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release