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
-
2021-01-14
Dose 1 — Moderna
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2021-02-11
Registered in v-safe
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2021-02-11
Dose 2 — Moderna
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2021-02-11
Survey response — day 0, dose 2MedDRA: Eye pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Eye painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Neck pain, eye painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-18
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2021-03-19
Survey response — day 35, dose 2MedDRA: Office visit, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree 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
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2021-03-19
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-27
Survey response — day 42, dose 2MedDRA: Fatigue, Hypertension — Feeling: FairFree 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 rangeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-10
Dose 3 — Moderna
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2021-10-25
Survey response — day 42, dose 3MedDRA: Cyanosis, Hypoaesthesia, Office visit, Paraesthesia, Peripheral coldness — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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
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2021-10-25
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-26
- 2021-10-26
- 2021-10-29
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2022-09-12
Survey response — 12 months, dose 3MedDRA: COVID-19, Cough, Dyspnoea, Medical counselling — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-09-10 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Eye pain
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Neck pain, eye pain
Release 5 — day 35, dose 2
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Cyanosis | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Peripheral coldness | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release