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5XK-31945-10800

3 vaccinations 20 coded responses 39 check-ins 20 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
787 / TX
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Moderna
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Nasal congestion — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: Cough / nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion — Feeling: Fair · Diarrhea
    Free text: Nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sore throat and nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair
    Free text: Sore throat, congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-22
    Survey response — day 7, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-27
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Extra full body fatigue and exhaustion that comes in waves making it hard to wake up and stay up, headaches every day of varying intensity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-03
    Health check-in — day 21, dose 1
    Feeling: Poor
    Adult check-in
  12. 2021-04-10
    Dose 2 — Moderna
  13. 2021-04-10
    Survey response — day 0, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Mild sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Ear pain, Irritability, Oropharyngeal pain, Respiratory tract congestion, Secretion discharge, Toothache — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Cough, sore throat, tooth pain, ear pain, mucus / wet lung feeling, congestion, irritability
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Sore throat, coughing, congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Congestion, sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: Sore throat, congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sore throat, congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-17
    Survey response — day 7, dose 2
    MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-24
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-01
    Survey response — day 21, dose 2
    MedDRA: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: 101 degree Fever for 3 days + more severe chest congestion, coughing, and sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-05-15
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Primarily just complete full body severe fatigue that makes it just about impossible to do anything.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-07-10
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-10-09
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-11-12
    Dose 3 — Moderna
  29. 2021-11-12
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  30. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-11-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Congestion, cough, sore throat.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  34. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  35. 2021-11-19
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  36. 2021-11-26
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  37. 2021-12-03
    Survey response — day 21, dose 3
    MedDRA: Asthenia, Fatigue, Malaise, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Lots of extra fatigue, congestion, sore throat, lack of energy, general feeling of being unwell despite isolation & no fever.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-10
    Survey response — day 28, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair
    Free text: Swollen lymph nodes; they've been present since shortly after the 3rd shot but I didn't know that's what they were.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-12-17
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  40. 2021-12-24
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  41. 2022-02-13
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  42. 2022-05-13
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  43. 2022-11-12
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna
22021-04-10Moderna
32021-11-12Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Cough / nasal congestion

2021-03-16

Systemic reaction (other): Nasal congestion

2021-03-17

Systemic reaction (other): Sore throat and nasal congestion

2021-03-18

Systemic reaction (other): Sore throat, congestion

2021-03-19

Systemic reaction (other): Sore throat

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): Sore throat

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Extra full body fatigue and exhaustion that comes in waves making it hard to wake up and stay up, headaches every day of varying intensity

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): Mild sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Cough, sore throat, tooth pain, ear pain, mucus / wet lung feeling, congestion, irritability

2021-04-12

Systemic reaction (other): Sore throat, coughing, congestion

2021-04-13

Systemic reaction (other): Congestion, sore throat

2021-04-14

Systemic reaction (other): Sore throat, congestion

2021-04-15

Systemic reaction (other): Sore throat, congestion

2021-04-16

Systemic reaction (other): Congestion

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): Congestion

Release 8 — day 21, dose 2

2021-05-01

Symptoms: 101 degree Fever for 3 days + more severe chest congestion, coughing, and sore throat

Release 8 — day 35, dose 2

2021-05-15

Symptoms: Primarily just complete full body severe fatigue that makes it just about impossible to do anything.

Release 10 — days 1–6 daily, dose 3

2021-11-14

Systemic reaction (other): Congestion, cough, sore throat.

Release 10 — day 21, dose 3

2021-12-03

Symptoms: Lots of extra fatigue, congestion, sore throat, lack of energy, general feeling of being unwell despite isolation & no fever.

Release 10 — day 28, dose 3

2021-12-10

Symptoms: Swollen lymph nodes; they've been present since shortly after the 3rd shot but I didn't know that's what they were.

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 · · ✓
SDCough ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDLymphadenopathy · · ✓
SDMalaise · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROIrritability ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSecretion discharge ✓ ✓ ✓
SROToothache ✓ ✓ ✓

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

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