5YD-30712-67507
3 vaccinations
8 coded responses
39 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 760 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Hyperacusis, Hyperaesthesia, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: This is gonna sound weird, and I dont really know how to describe it, but I felt sound for a couple of hours. Moderately loud noises caused pain in my back that reverberated through my body. Also during that time period, I was extremely sensitive to touch. Anything that touched me felt incredibly uncomfortable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-08
- 2021-02-09
- 2021-02-10
-
2021-02-11
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Runny nose, mild sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Survey response — day 21, dose 2MedDRA: Pulmonary embolism — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Pulmonary embolismMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-04
Survey response — day 28, dose 2MedDRA: Pulmonary embolism — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Pulmonary embolismMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
- 2021-03-18
-
2021-05-06
Survey response — 3 months, dose 2MedDRA: Office visit, Splenomegaly — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Enlarged Spleen · Healthcare visit (other): SpecialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-08
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Pain in armpit in arm injection was receivedMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-31
- 2021-11-01
- 2021-11-12
- 2021-11-16
-
2021-11-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-23
-
2021-11-29
Survey response — day 35, dose 3MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe AllergiesMedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Survey response — day 42, dose 3MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: AllergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
- 2022-04-26
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): This is gonna sound weird, and I dont really know how to describe it, but I felt sound for a couple of hours. Moderately loud noises caused pain in my back that reverberated through my body. Also during that time period, I was extremely sensitive to touch. Anything that touched me felt incredibly uncomfortable.
Release 4 — day 7, dose 2
Systemic reaction (other): Runny nose, mild sore throat
Release 4 — day 21, dose 2
Symptoms: Pulmonary embolism
Release 5 — day 28, dose 2
Symptoms: Pulmonary embolism
Release 8 — 3 months, dose 2
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain in armpit in arm injection was received
Release 10 — day 35, dose 3
Symptoms: Severe Allergies
Release 10 — day 42, dose 3
Symptoms: Allergies
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pulmonary embolism | ✓ | ✓ | ✓ |
| SD | Splenomegaly | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Hyperacusis | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release