5D6-15538-59999
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 760 / TX
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-16
Registered in v-safe
- 2021-03-16
-
2021-03-21
Survey response — day 14, dose 1MedDRA: Blepharospasm, Erythema, Feeling hot, Pain in extremity, Pruritus, Urticaria — Feeling: PoorFree text: Day 8 my left arm started hurting and day 9 my arm had large red welps and hot and itchy like crazy. Day 10 welps from elbow to shoulder then moved up my neck towards collar bone. Left eye was twitching and still is.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-02
-
2021-04-05
Dose 2 — Moderna
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I have severe osteoporosis. My back is spasms bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat, Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Cold sweat and light headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-12
Survey response — day 7, dose 2MedDRA: Dyspnoea, Muscle spasms, Somnolence — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My back is still spasmodic. Very sleepy and feeling lack of oxygen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — day 14, dose 2MedDRA: Asthenia, Bone pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Weakness and bone pain. I would like to know the effects on muscle and bone and joint from the vaccine and if that was researched in the clinical trials?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Survey response — day 21, dose 2MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A little short of Breath and chest discomfort after walkingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
-
2021-05-10
Survey response — day 35, dose 2MedDRA: Fatigue, Head discomfort, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sporadic headaches that feel like pressure building along with fatigue started last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-07-05
- 2021-10-04
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: Day 8 my left arm started hurting and day 9 my arm had large red welps and hot and itchy like crazy. Day 10 welps from elbow to shoulder then moved up my neck towards collar bone. Left eye was twitching and still is.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have severe osteoporosis. My back is spasms bad.
Systemic reaction (other): Cold sweat and light headedness
Release 7 — day 7, dose 2
Systemic reaction (other): My back is still spasmodic. Very sleepy and feeling lack of oxygen.
Release 7 — day 14, dose 2
Symptoms: Weakness and bone pain. I would like to know the effects on muscle and bone and joint from the vaccine and if that was researched in the clinical trials?
Release 8 — day 21, dose 2
Symptoms: A little short of Breath and chest discomfort after walking
Release 8 — day 35, dose 2
Symptoms: Sporadic headaches that feel like pressure building along with fatigue started last week.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Blepharospasm | ✓ | ✓ | ✓ |
| SD | Bone pain | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release