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
-
2021-04-01
Dose 1 — Moderna
-
2021-04-04
Registered in v-safe
-
2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Itching · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree text: After every meal I feel nauseous and want to throw up. Feel light headed and dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Insomnia, Somnolence — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Just feel dizzy and havre lost my sleep in the night and love to sleep during the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
-
2021-04-08
Survey response — day 7, dose 1MedDRA: Asthenia, Fatigue, Insomnia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
- 2021-04-15
-
2021-04-22
Survey response — day 21, dose 1MedDRA: Abdominal discomfort, Chest pain, Nausea, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
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
Systemic reaction (other): Just feel dizzy and havre lost my sleep in the night and love to sleep during the day
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | ✓ | ○ |
| SD | Chest pain | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release