5BP-53820-79191
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 760 / TX
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Site: Pain · HeadacheFree text: TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 1MedDRA: Arthralgia, Injection site pruritus, Injection site rash, Injection site warmth, Pain in extremity — Feeling: GoodFree text: Exactly seven days after the shot I got a rash near the shot location the size of a tennis ball. Itchy and Hot to the touch. Lasted four days. After that cleared up the same arm would have an aching sharp pain at the elbow and would move down my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
-
2021-05-01
Dose 2 — Moderna
- 2021-05-12
- 2021-05-15
- 2021-05-24
- 2021-05-31
- 2021-06-05
- 2021-06-12
- 2021-07-31
- 2021-10-30
-
2022-05-01
Survey response — 12 months, dose 2MedDRA: Gait disturbance, Gastroenteritis viral, Malaise, Mobility decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: I got some kids off severe stomach flu thatFelt like I was going to die. I couldn't walk. I could hardly text for help. I had never been that sick in my life. I was confined to my bed for three days, while a few of my kids (also vaccinated) had same.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-05-01 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tired
Release 7 — day 14, dose 1
Symptoms: Exactly seven days after the shot I got a rash near the shot location the size of a tennis ball. Itchy and Hot to the touch. Lasted four days. After that cleared up the same arm would have an aching sharp pain at the elbow and would move down my arm cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: I got some kids off severe stomach flu thatFelt like I was going to die. I couldn't walk. I could hardly text for help. I had never been that sick in my life. I was confined to my bed for three days, while a few of my kids (also vaccinated) had same. cut off by CDC
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 | Gait disturbance | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release