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5RN-24787-64564

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
775 / TX
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-23
    Registered in v-safe
  2. 2021-02-23
    Dose 1 — Moderna
  3. 2021-02-23
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vision blurred — Feeling: Good · Headache
    Free text: Some blurring of eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-02
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  11. 2021-03-09
    Survey response — day 14, dose 1
    MedDRA: Malaise, Pain in extremity — Feeling: Good
    Free text: Didnt feel wellLegs ached.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-23
    Dose 2 — Moderna
  14. 2021-03-23
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Headache
    Adult check-in
  15. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Influenza like illness, Insomnia, Pyrexia — Feeling: Good · Site: Pain
    Free text: I did have many symptoms yesterday evening & last night with fever, chills flu like symptoms couldnt sleep because of feeling so bad.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  17. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  20. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-06
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Headache, Nausea, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Had dizzy spell early Sunday AM with Nausea body aches Monday better. Today, Tuesday felt bad headaches body aches with some nausea all day just feel bad
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-13
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Dizziness, Headache, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Body aches, headaches, dizziness& nausea, weakness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-04
    Survey response — day 42, dose 2
    MedDRA: Asthenia, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Have episodes of body aches and weakness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-23Moderna
22021-03-23Moderna

Free text

Release 4 — day 0, dose 1

2021-02-23

Systemic reaction (other): Mild

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Some blurring of eyes

Release 5 — day 14, dose 1

2021-03-09

Symptoms: Didnt feel wellLegs ached.

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): I did have many symptoms yesterday evening & last night with fever, chills flu like symptoms couldnt sleep because of feeling so bad.

Release 7 — day 14, dose 2

2021-04-06

Symptoms: Had dizzy spell early Sunday AM with Nausea body aches Monday better. Today, Tuesday felt bad headaches body aches with some nausea all day just feel bad

Release 7 — day 21, dose 2

2021-04-13

Symptoms: Body aches, headaches, dizziness& nausea, weakness

Release 8 — day 42, dose 2

2021-05-04

Symptoms: Have episodes of body aches and weakness

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
SDAsthenia ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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