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5LR-17979-45599

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
787 / TX
Registered
2021-03-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Sore Throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Body aches and headaches worsened for about 3 days. Now just intermittent headache. Took some aleve for body aches and that helped.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-04-01
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-04-02
    Dose 2 — Moderna
  10. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Injection site swelling — Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: About 3 days after i received 2nd dose, on the same side injection was given, my back and shoulder had a big nasty painful bump. Its beginning to go down now but thought it was worth mentioning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-30
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-05-07
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-16
    Survey response — day 42, dose 2
    MedDRA: Hypertension — Feeling: Fair · Be unable to do your normal daily activities
    Free text: High blood pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Joint swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My ankles keep swelling up. Im not sure if it has anything to do with the COVID vaccine but thought i would mention it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-10-01
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  19. 2022-04-02
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-02Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Sore Throat

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Body aches and headaches worsened for about 3 days. Now just intermittent headache. Took some aleve for body aches and that helped.

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): About 3 days after i received 2nd dose, on the same side injection was given, my back and shoulder had a big nasty painful bump. Its beginning to go down now but thought it was worth mentioning.

Release 8 — day 42, dose 2

2021-05-16

Symptoms: High blood pressure

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: My ankles keep swelling up. Im not sure if it has anything to do with the COVID vaccine but thought i would mention it.

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
SDHeadache ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDJoint swelling ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

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