5XF-44895-00481
3 vaccinations
9 coded responses
27 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 758 / TX
- Registered
- 2021-07-30
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-30
Registered in v-safe
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2021-07-30
Dose 1 — Moderna
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2021-07-30
Survey response — day 0, dose 1MedDRA: Fatigue — Feeling: Fair · Headache, Fatigue or tirednessFree text: I am just slightly tired, I took a nap for 2 hours.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-31
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: My body ached when I woke and for about and hour or two and then I felt fine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-01
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Feeling abnormal, Myalgia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: Just not feeling totally normal, but am sore on my right shoulder shot area and joints and muscles a bit sore.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-02
- 2021-08-03
- 2021-08-05
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2021-08-06
Survey response — day 7, dose 1MedDRA: Sneezing — Feeling: GoodFree text: Sneezing, but I live in (b)(6) it's probably Ragweed or PollenMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-13
- 2021-08-20
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2021-08-27
Dose 2 — Moderna
- 2021-08-27
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2021-08-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-29
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Ear pain, Nasal congestion — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Stuffy nose, sore ears, slight cough like allergies.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-30
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Itching · Muscle or body aches, Diarrhea · Be unable to work or attend schoolFree text: CongestionMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: I am progressively better.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-01
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · Joint pains, Muscle or body achesFree text: Congestion, may be allergies. Pollen and Ragweed are high in (b)(6) at this time of the year.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · HeadacheFree text: Still congested, not nearly as bad, bearable today.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-03
- 2021-09-10
- 2021-09-17
- 2021-09-24
- 2021-10-01
- 2021-10-08
- 2021-11-26
- 2022-02-25
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2022-03-01
Dose 3 — Moderna
- 2022-05-31
- 2022-08-30
- 2023-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-30 | Moderna | No |
| 2 | 2021-08-27 | Moderna | No |
| 3 | 2022-03-01 | Moderna | No |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): I am just slightly tired, I took a nap for 2 hours.
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): My body ached when I woke and for about and hour or two and then I felt fine.
Systemic reaction (other): Just not feeling totally normal, but am sore on my right shoulder shot area and joints and muscles a bit sore.
Release 9 — day 7, dose 1
Systemic reaction (other): Sneezing, but I live in (b)(6) it's probably Ragweed or Pollen
redacted (b)(6)
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Stuffy nose, sore ears, slight cough like allergies.
Systemic reaction (other): Congestion
Systemic reaction (other): I am progressively better.
Systemic reaction (other): Congestion, may be allergies. Pollen and Ragweed are high in (b)(6) at this time of the year.
redacted (b)(6)
Systemic reaction (other): Still congested, not nearly as bad, bearable today.
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 | Cough | ✓ | · | ✓ |
| SRO | Ear pain | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | · | ✓ |
| SRO | Feeling abnormal | ✓ | · | ✓ |
| SRO | Myalgia | ✓ | · | ✓ |
| SRO | Nasal congestion | ✓ | · | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Sneezing | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release