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
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
-
2021-01-09
Survey response — day 0, dose 1MedDRA: Connective tissue disorder, Fatigue, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: *Undifferentiated Connective Tissue Disease patient. Severe fatigue post shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Self-medication — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree 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
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-08
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2021-03-13
Survey response — day 35, dose 2MedDRA: Fatigue, Myalgia, Pain, Pain of skin — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree 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
- 2021-03-20
- 2021-05-08
-
2021-08-14
Dose 3 — Moderna
- 2021-11-13
-
2022-02-14
Survey response — 6 months, dose 3MedDRA: 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 consultationFree text: Jan 7 began experiencing Covid-19 symptoms of sore throat, congestion, and fever. 3rd dose of Moderna was given Aug 14, 2021MedDRA releases: 2024-11 · check-in free text available
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2022-02-14
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-08-14 | Moderna | No |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): *Undifferentiated Connective Tissue Disease patient. Severe fatigue post shot.
Release 1 — days 1–6 daily, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain of skin | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Connective tissue disorder | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release