5DX-26805-40158
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 750 / TX
- Registered
- 2021-08-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-23
Registered in v-safe
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2021-08-23
Dose 1 — Moderna
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2021-08-23
Survey response — day 0, dose 1MedDRA: Myalgia — Feeling: Good · Site: PainFree text: Sore right upper arm muscleMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia, Self-medication — Feeling: Good · Site: PainFree text: A bit of insomnia . But I took a small dose of Tylenol pm and it helped. ( not the full dose )MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Survey response — days 1–6 daily, dose 1MedDRA: Nausea, Self-medication — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Think the nausea is from taking ibuprofen this morning on an empty stomach. Took some anti nausea meds and ate . That is helping.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Muscle or body aches, NauseaAdult check-in
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-09-06
- 2021-09-13
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2021-09-20
Dose 2 — Moderna
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2021-09-20
Survey response — day 0, dose 2MedDRA: Flushing — Feeling: GoodFree text: Feeling flushed but not feverishMedDRA releases: 2024-11 · check-in free text available
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2021-09-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-09-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-09-23
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2021-09-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · None · Be unable to work or attend schoolAdult check-in
- 2021-09-25
- 2021-09-26
- 2021-09-27
- 2021-10-04
- 2021-10-11
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2021-10-18
Survey response — day 28, dose 2MedDRA: Blood pressure increased, Office visit, Pain — Feeling: FairFree text: Body aches seem to be more but could be from statin. B p is higher today at my doc appt but monitoring that on the advice from the specialist I see - pulmonologist office. I also take a steroid inhaler. So not sure any of this related to vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-11-01
- 2021-12-20
- 2022-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-23 | Moderna | No |
| 2 | 2021-09-20 | Moderna | No |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Sore right upper arm muscle
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): A bit of insomnia . But I took a small dose of Tylenol pm and it helped. ( not the full dose )
Systemic reaction (other): Think the nausea is from taking ibuprofen this morning on an empty stomach. Took some anti nausea meds and ate . That is helping.
Release 9 — day 0, dose 2
Systemic reaction (other): Feeling flushed but not feverish
Release 10 — day 28, dose 2
Symptoms: Body aches seem to be more but could be from statin. B p is higher today at my doc appt but monitoring that on the advice from the specialist I see - pulmonologist office. I also take a steroid inhaler. So not sure any of this related to 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 | Blood pressure increased | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Insomnia | ✓ | · | ✓ |
| SRO | Myalgia | ✓ | · | ✓ |
| SRO | Nausea | ✓ | · | ✓ |
| SRO | Self-medication | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release