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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

  1. 2021-03-05
    Dose 1 — Moderna
  2. 2021-03-16
    Registered in v-safe
  3. 2021-03-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-21
    Survey response — day 14, dose 1
    MedDRA: Blepharospasm, Erythema, Feeling hot, Pain in extremity, Pruritus, Urticaria — Feeling: Poor
    Free 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
  5. 2021-03-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-02
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-04-05
    Dose 2 — Moderna
  8. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: I have severe osteoporosis. My back is spasms bad.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cold sweat, Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Cold sweat and light headedness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-12
    Survey response — day 7, dose 2
    MedDRA: Dyspnoea, Muscle spasms, Somnolence — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free 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
  12. 2021-04-19
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Bone pain — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  13. 2021-04-26
    Survey response — day 21, dose 2
    MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: A little short of Breath and chest discomfort after walking
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-10
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Head discomfort, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  16. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-07-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-05Moderna

Free text

Release 6 — day 14, dose 1

2021-03-21

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

2021-04-08

Systemic reaction (other): I have severe osteoporosis. My back is spasms bad.

2021-04-10

Systemic reaction (other): Cold sweat and light headedness

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): My back is still spasmodic. Very sleepy and feeling lack of oxygen.

Release 7 — day 14, dose 2

2021-04-19

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

2021-04-26

Symptoms: A little short of Breath and chest discomfort after walking

Release 8 — day 35, dose 2

2021-05-10

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ ✓ ✓
SDBlepharospasm ✓ ✓ ✓
SDBone pain ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDHead discomfort ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SROCold sweat ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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