5BL-26511-23717
4 vaccinations
13 coded responses
48 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 776 / TX
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Tongue disorder — Feeling: Fair · Fatigue or tirednessFree text: Fuzzy tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-03-31
Dose 2 — Moderna
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Stomatitis — Feeling: Good · Fatigue or tirednessFree text: Day after shot I experienced fatigue and a raw tissue feeling in my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis, Stomatitis — Feeling: Fair · Fatigue or tirednessFree text: Raw mouth is gone but have bloody nasal secretions.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 7, dose 2MedDRA: Respiratory tract haemorrhage — Feeling: Fair · Fatigue or tirednessFree text: Still have blood in nasal secretionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
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2021-09-29
Survey response — 6 months, dose 2MedDRA: Gastrointestinal disorder — Feeling: GoodFree text: In Late june had explosive bowel issuesMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Dose 3 — Moderna
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Focal sore throat this morningMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Epistaxis — Feeling: GoodFree text: Bloody noseMedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Epistaxis — Feeling: GoodFree text: Bloody noseMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Wide spread Itching during the night but no obvious rashMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
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2021-12-07
Survey response — day 35, dose 3MedDRA: Arthralgia, Sinus headache, Throat irritation — Feeling: FairFree text: Sinus headaches and a scratchy throat.with one day of mild joint pain. I plan to self test on Thursday as I spent the weekend with a couple who had just come back from Connecticut.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2022-02-01
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2022-04-18
Dose 4 — Moderna
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-05-23
- 2022-05-30
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2022-07-18
Survey response — 3 months, dose 4MedDRA: Arthralgia — Feeling: FairFree text: Left shoulder joint painMedDRA releases: 2024-11 · check-in free text available
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2022-10-17
Survey response — 6 months, dose 4MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Left shoulder pain.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Fuzzy tongue
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Day after shot I experienced fatigue and a raw tissue feeling in my mouth
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Raw mouth is gone but have bloody nasal secretions.
Release 7 — day 7, dose 2
Systemic reaction (other): Still have blood in nasal secretions
Release 9 — 6 months, dose 2
Symptoms: In Late june had explosive bowel issues
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Focal sore throat this morning
Systemic reaction (other): Bloody nose
Systemic reaction (other): Bloody nose
Systemic reaction (other): Wide spread Itching during the night but no obvious rash
Release 10 — day 35, dose 3
Symptoms: Sinus headaches and a scratchy throat.with one day of mild joint pain. I plan to self test on Thursday as I spent the weekend with a couple who had just come back from Connecticut.
Release 12 — 3 months, dose 4
Symptoms: Left shoulder joint pain
Release 12 — 6 months, dose 4
Symptoms: Left shoulder pain.
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 | Arthralgia | · | · | ✓ |
| SD | Bone cyst | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Respiratory tract haemorrhage | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Tongue disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release