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5RT-12260-48692

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
846 / UT
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Cough, Dyspnoea, Head discomfort, Malaise, Pain in extremity, Palpitations, Vertigo — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Free text: I received the vaccine on 01/13/21. When they gave me the vaccine I felt pressure in my chest and pressure in my head. I couldn't breathe very well and had to be coughing from time to time. Day # 2 (1/14/21) I continued with the pressure in my chest and a little cough, a lot of pain in my arm. Day # 3 (01/15/20) my chest feels better, I can breathe much better now, my arm still hurts. Day # 4 (01/16/21) today I woke up at midnight with palpitations and a bit of vertigo, I didn't feel very well, but half an hour later I felt better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Abdominal pain
    Adult check-in
  6. 2021-01-27
    Survey response — day 14, dose 1
    MedDRA: Abdominal discomfort, Headache, Heart rate increased, Pyrexia, Vertigo — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Heart beat over 105, feverish, vertigo Head ache, nausea, my stomach bother me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-13
    Dose 2 — Moderna
  8. 2021-02-27
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Fatigue, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizzy, headache, very fatigue, nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-06
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue, body each
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-13
    Survey response — day 28, dose 2
    MedDRA: Chills, Fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: aching body, very fatigue, chills
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-20
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Malaise, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: body ache, I feel sick, fatigued
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-14
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  15. 2022-02-13
    Survey response — 12 months, dose 2
    MedDRA: Paraesthesia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities
    Free text: information from the liver and tingling in arms, back and neck
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-13Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): I received the vaccine on 01/13/21. When they gave me the vaccine I felt pressure in my chest and pressure in my head. I couldn't breathe very well and had to be coughing from time to time. Day # 2 (1/14/21) I continued with the pressure in my chest and a little cough, a lot of pain in my arm. Day # 3 (01/15/20) my chest feels better, I can breathe much better now, my arm still hurts. Day # 4 (01/16/21) today I woke up at midnight with palpitations and a bit of vertigo, I didn't feel very well, but half an hour later I felt better.

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Heart beat over 105, feverish, vertigo Head ache, nausea, my stomach bother me

Release 4 — day 14, dose 2

2021-02-27

Symptoms: Dizzy, headache, very fatigue, nausea

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Fatigue, body each

Release 5 — day 28, dose 2

2021-03-13

Symptoms: aching body, very fatigue, chills

Release 6 — day 35, dose 2

2021-03-20

Symptoms: body ache, I feel sick, fatigued

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: information from the liver and tingling in arms, back and neck

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
SDAbdominal discomfort ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDParaesthesia · · ✓
SDPyrexia ✓ ✓ ✓
SDUnevaluable event · · ✓
SDVertigo ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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