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5CD-13181-12813

1 vaccination 5 coded responses 7 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
770 / TX
Registered
2021-04-04
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-04
    Registered in v-safe
  3. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Itching · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Nausea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: After every meal I feel nauseous and want to throw up. Feel light headed and dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Insomnia, Somnolence — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Just feel dizzy and havre lost my sleep in the night and love to sleep during the day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Asthenia, Gait disturbance, Insomnia, Vision blurred — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain n Joints, hips, lack of sleep, no energy, dragging my feet, my vision has been a bit blurry today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-08
    Survey response — day 7, dose 1
    MedDRA: Asthenia, Fatigue, Insomnia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I feel tired and less energetic everyday. I have lost my sleep in the night and then get to sleep at around 5 or 6 and my entire day gets messed up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-15
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-04-22
    Survey response — day 21, dose 1
    MedDRA: Abdominal discomfort, Chest pain, Nausea, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I am having pains and aches in my entire body that never existed prior to taking the vaccine. Sometimes feel sick to my stomach and want to throw up too. Feeling pain in my chest close to the heart. My total health is disturbed from this. Vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): After every meal I feel nauseous and want to throw up. Feel light headed and dizzy

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Just feel dizzy and havre lost my sleep in the night and love to sleep during the day

2021-04-07

Systemic reaction (other): Pain n Joints, hips, lack of sleep, no energy, dragging my feet, my vision has been a bit blurry today.

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): I feel tired and less energetic everyday. I have lost my sleep in the night and then get to sleep at around 5 or 6 and my entire day gets messed up.

Release 7 — day 21, dose 1

2021-04-22

Symptoms: I am having pains and aches in my entire body that never existed prior to taking the vaccine. Sometimes feel sick to my stomach and want to throw up too. Feeling pain in my chest close to the heart. My total health is disturbed from this. Vaccine. 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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ ✓ ○
SDChest pain · · ✓
SDNausea · · ✓
SDPain · · ✓
SROArthralgia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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