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
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2021-03-04
Dose 1 — Moderna
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2021-03-07
Registered in v-safe
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Sore ThroatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-18
Survey response — day 14, dose 1MedDRA: Headache, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-03-25
- 2021-04-01
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2021-04-02
Dose 2 — Moderna
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Injection site swelling — Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree 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
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2021-04-09
Health check-in — day 7, dose 2Feeling: 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 activitiesAdult check-in
- 2021-04-16
- 2021-04-28
- 2021-04-30
- 2021-05-07
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2021-05-16
Survey response — day 42, dose 2MedDRA: Hypertension — Feeling: Fair · Be unable to do your normal daily activitiesFree text: High blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Joint swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-10-01
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Sore Throat
Release 5 — day 14, dose 1
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
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
Symptoms: High blood pressure
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release