56E-21376-29373
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 780 / TX
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
-
2021-03-25
Survey response — day 0, dose 1MedDRA: Somnolence — Feeling: GoodFree text: I took a 2hr nap which is not normal for me. But then I was good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Minor stiffness on shoulder and neck on side on injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: A little stiff neck. Nothing majorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-10
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Musculoskeletal stiffness, Productive cough, Throat irritation — Feeling: Good · Site: SwellingFree text: Mild Stiffness in neck and left arm (injection site) woke up with a little cough and phlegm, a tickle in the throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-27
- 2021-04-28
- 2021-05-01
- 2021-05-06
- 2021-05-15
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
- 2021-10-21
- 2022-04-18
-
2022-04-22
Survey response — 12 months, dose 2MedDRA: Cardiac valve disease, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: In December, I discovered I'm having trouble with my heart valves. Just visited my cardiologist. I'm pending results. · Healthcare visit (other): Drs office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): I took a 2hr nap which is not normal for me. But then I was good.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Minor stiffness on shoulder and neck on side on injection
Systemic reaction (other): A little stiff neck. Nothing major
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Mild Stiffness in neck and left arm (injection site) woke up with a little cough and phlegm, a tickle in the throat
Release 11 — 12 months, dose 2
Symptoms: In December, I discovered I'm having trouble with my heart valves. Just visited my cardiologist. I'm pending results.
Healthcare visit (other): Drs office visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cardiac valve disease | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release