5VH-29888-35386
5 vaccinations
8 coded responses
37 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
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2021-02-03
Dose 1 — Moderna
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2021-02-03
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Chills, HeadacheFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fever · ChillsFree text: Just off & onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Fever · Chills, HeadacheFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
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2021-03-03
Dose 2 — Moderna
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2021-03-03
Survey response — day 0, dose 2MedDRA: Limb discomfort — Feeling: Good · Site: PainFree text: Shot Arm slightly brothering meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Headache, Muscle or body achesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Fatigue or tirednessAdult check-in
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2021-03-10
Health check-in — day 7, dose 2Feeling: Good · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-24
- 2021-04-02
- 2021-04-08
- 2021-04-15
- 2021-06-02
- 2021-09-03
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2021-10-26
Dose 3 — Moderna
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Bone pain, Mobility decreased, Office visit, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: When I woke up today, my entire body ache with pain. Even many of my bones were aching. Didnt even want to walk around house & had a Dr Appt @9:30 am.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Body temperature increased, Chills, Headache, Pain — Feeling: Fair · Site: Pain · Fever · ChillsFree text: Wed ck/up on 10/27 (day after shot), after taking this questionnaire , I took my tempture- was 100.1° I ached from tip of head to my knees There was a front that came thru Tues night before. I feel much better now. Chills off & on. Not aching like nMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-11-03
- 2021-11-10
- 2021-11-19
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
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2022-05-09
Dose 4 — Moderna
- 2022-06-21
- 2022-08-09
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2022-12-06
Dose 5 — Moderna
- 2023-05-09
- 2023-06-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-05-09 | Moderna | No |
| 5 | 2022-12-06 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): No
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): Just off & on
Systemic reaction (other): No
Systemic reaction (other): No
Release 5 — day 0, dose 2
Systemic reaction (other): Shot Arm slightly brothering me
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): When I woke up today, my entire body ache with pain. Even many of my bones were aching. Didnt even want to walk around house & had a Dr Appt @9:30 am.
Systemic reaction (other): Wed ck/up on 10/27 (day after shot), after taking this questionnaire , I took my tempture- was 100.1° I ached from tip of head to my knees There was a front that came thru Tues night before. I feel much better now. Chills off & on. Not aching like n cut off by CDC
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Bone pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release