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5ES-33758-03422

3 vaccinations 4 coded responses 14 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
786 / TX
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Registered in v-safe
  2. 2021-01-09
    Dose 1 — Moderna
  3. 2021-01-09
    Survey response — day 0, dose 1
    MedDRA: Connective tissue disorder, Fatigue, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: *Undifferentiated Connective Tissue Disease patient. Severe fatigue post shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-09
    Report sent to call center — day 0, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Self-medication — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: Chronic Idiopathic Uriticaria patient on Xolair 300 ml every 4 weeks. Received Moderna vaccine on day of usual Xolair injection and am now almost 5 weeks since my last injections. I am taking x2 zyrtec, x1 pepcid, x2 allegra daily and 50 mg of bendryl as needed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Fair · None
    Adult check-in
  7. 2021-01-23
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-01-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-06
    Dose 2 — Moderna
  10. 2021-02-13
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · None
    Adult check-in
  11. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-13
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Myalgia, Pain, Pain of skin — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Skin and muscle pain. Feels like someone's squeezing my upper arms, upper thighs, hips, and shoulder blades. Stabbing pain and exhaustion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-14
    Dose 3 — Moderna
  18. 2021-11-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-02-14
    Survey response — 6 months, dose 3
    MedDRA: Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Jan 7 began experiencing Covid-19 symptoms of sore throat, congestion, and fever. 3rd dose of Moderna was given Aug 14, 2021
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-14
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-06Moderna
32021-08-14Moderna No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-09

Systemic reaction (other): *Undifferentiated Connective Tissue Disease patient. Severe fatigue post shot.

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Chronic Idiopathic Uriticaria patient on Xolair 300 ml every 4 weeks. Received Moderna vaccine on day of usual Xolair injection and am now almost 5 weeks since my last injections. I am taking x2 zyrtec, x1 pepcid, x2 allegra daily and 50 mg of bendryl as needed.

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Skin and muscle pain. Feels like someone's squeezing my upper arms, upper thighs, hips, and shoulder blades. Stabbing pain and exhaustion.

Release 11 — 6 months, dose 3

2022-02-14

Symptoms: Jan 7 began experiencing Covid-19 symptoms of sore throat, congestion, and fever. 3rd dose of Moderna was given Aug 14, 2021

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
SDFatigue ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPain ✓ ✓ ✓
SDPain of skin ✓ ✓ ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SROConnective tissue disorder ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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