5YG-78792-43078
4 vaccinations
4 coded responses
23 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 780 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Eye irritation — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Burning eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
-
2021-08-13
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Pharyngitis streptococcal, SARS-CoV-2 test negative, Streptococcus test positive — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I went for a covid test my throat was hurting no fever. The test was negative. But my throat was swapped for strep. I came out positive. I got a penicillin shot and antibiotic for 10 days. Two 500mg pills a day. I have an appointment tomorrow. To tesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
- 2021-08-24
-
2021-09-17
Dose 3 — Moderna
-
2022-02-12
Survey response — 12 months, dose 2MedDRA: Fall, Rib fracture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I fell broke a rib.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-16
-
2022-03-30
Dose 4 — Moderna
-
2022-04-26
Survey response — day 21, dose 4MedDRA: Influenza, Middle ear effusion, Nasal discomfort, Oropharyngeal pain, Pyrexia, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: On Wednesday April 20, 2022 i was diagnosed with flu B. Fever lasted through April 24th. I had sore throat and fluid on the left ear. It felt like burning throat, and nostril left side only. I didn't have a runny nose or coughing. But felt like i waMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-27
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-09-17 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Burning eyes
Release 9 — 6 months, dose 2
Symptoms: I went for a covid test my throat was hurting no fever. The test was negative. But my throat was swapped for strep. I came out positive. I got a penicillin shot and antibiotic for 10 days. Two 500mg pills a day. I have an appointment tomorrow. To tes cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: I fell broke a rib.
Release 11 — day 21, dose 4
Symptoms: On Wednesday April 20, 2022 i was diagnosed with flu B. Fever lasted through April 24th. I had sore throat and fluid on the left ear. It felt like burning throat, and nostril left side only. I didn't have a runny nose or coughing. But felt like i wa 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 |
|---|---|---|---|---|
| SD | Fall | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Nasal discomfort | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pharyngitis streptococcal | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rib fracture | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Streptococcus test positive | ✓ | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release