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
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-18
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Cough, Dyspnoea, Head discomfort, Malaise, Pain in extremity, Palpitations, Vertigo — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesFree 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
- 2021-01-22
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2021-01-27
Survey response — day 14, dose 1MedDRA: Abdominal discomfort, Headache, Heart rate increased, Pyrexia, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Heart beat over 105, feverish, vertigo Head ache, nausea, my stomach bother meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Dose 2 — Moderna
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2021-02-27
Survey response — day 14, dose 2MedDRA: Dizziness, Fatigue, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizzy, headache, very fatigue, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 21, dose 2MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, body eachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — day 28, dose 2MedDRA: Chills, Fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: aching body, very fatigue, chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — day 35, dose 2MedDRA: Fatigue, Malaise, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: body ache, I feel sick, fatiguedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-05-15
- 2021-08-14
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2022-02-13
Survey response — 12 months, dose 2MedDRA: Paraesthesia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: information from the liver and tingling in arms, back and neckMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-13 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
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
Symptoms: Heart beat over 105, feverish, vertigo Head ache, nausea, my stomach bother me
Release 4 — day 14, dose 2
Symptoms: Dizzy, headache, very fatigue, nausea
Release 5 — day 21, dose 2
Symptoms: Fatigue, body each
Release 5 — day 28, dose 2
Symptoms: aching body, very fatigue, chills
Release 6 — day 35, dose 2
Symptoms: body ache, I feel sick, fatigued
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release