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56J-19862-77268

3 vaccinations 6 coded responses 11 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
785 / TX
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-02-11
    Registered in v-safe
  3. 2021-02-11
    Dose 2 — Moderna
  4. 2021-02-11
    Survey response — day 0, dose 2
    MedDRA: Eye pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Eye pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pain, Neck pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Free text: Neck pain, eye pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-19
    Survey response — day 35, dose 2
    MedDRA: Office visit, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have been experiencing very bad left leg pain that appears to be in my veins. I went to my doctor and he scheduled me a sonogram of left leg back to rule out DVT · Healthcare visit (other): I went to my doctors office.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-19
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-27
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Hypertension — Feeling: Fair
    Free text: I have been very tiered and my blood pressure has been a little elevated. Not much but its not normal for me. My regular blood pressure is 117/65 and for a week now it has been in the 137/84 range
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-09-10
    Dose 3 — Moderna
  15. 2021-10-25
    Survey response — day 42, dose 3
    MedDRA: Cyanosis, Hypoaesthesia, Office visit, Paraesthesia, Peripheral coldness — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: My toes turn blue and Go extremely cold. My hands get also extremely cold and feel tingly and numb. · Healthcare visit (other): I went to my primary doctor several times and got referred to specialist.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-10-25
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-10-26
  18. 2021-10-26
  19. 2021-10-29
  20. 2022-09-12
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Cough, Dyspnoea, Medical counselling — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I contracted COVID on August 30, 2022 and had to seek medical attention due to shortness of breath , cough and other symptoms.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna
32021-09-10Moderna No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Eye pain

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Neck pain, eye pain

Release 5 — day 35, dose 2

2021-03-19

Symptoms: I have been experiencing very bad left leg pain that appears to be in my veins. I went to my doctor and he scheduled me a sonogram of left leg back to rule out DVT
Healthcare visit (other): I went to my doctors office.

Release 6 — day 42, dose 2

2021-03-27

Symptoms: I have been very tiered and my blood pressure has been a little elevated. Not much but its not normal for me. My regular blood pressure is 117/65 and for a week now it has been in the 137/84 range

Release 10 — day 42, dose 3

2021-10-25

Symptoms: My toes turn blue and Go extremely cold. My hands get also extremely cold and feel tingly and numb.
Healthcare visit (other): I went to my primary doctor several times and got referred to specialist.

Release 12 — 12 months, dose 3

2022-09-12

Symptoms: I contracted COVID on August 30, 2022 and had to seek medical attention due to shortness of breath , cough and other symptoms.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDCyanosis · · ✓
SDDyspnoea · · ✓
SDFatigue ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDHypoaesthesia · · ✓
SDMedical counselling · · ✓
SDOffice visit ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia · · ✓
SDPeripheral coldness · · ✓
SROEye pain ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release