5YZ-30133-68139
2 vaccinations
4 coded responses
11 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 760 / TX
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-19
Dose 1 — Moderna
-
2021-04-20
Registered in v-safe
-
2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Bedridden, Dyspnoea, Feeling cold — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: I was freezing and couldnt get out of bed.. I was having trouble breathing but not as bad as when I had Covid . now my back is killing me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-05-03
- 2021-05-10
-
2021-05-17
Survey response — day 28, dose 1MedDRA: Dyspnoea, Pre-existing disease, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Im still having breathing issues.. its not from the vaccine its from Covid. I had Covid in October 2020 And ended up on an inhaler. And I dont know if its the weather or allergies my breathing is horrible and I am on the inhaler againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Dose 2 — Moderna
- 2021-07-19
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2021-10-18
Survey response — 6 months, dose 1MedDRA: Migraine, Office visit, Pain in extremity — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Horrible migraines and pains in my arm down to my hand where I got the shot · Healthcare visit (other): NeurologistMedDRA releases: 2024-11 · check-in free text available
-
2021-10-18
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-20
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2022-05-25
Survey response — 12 months, dose 2MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I'm tired all the time. I've had issues with breathing ever since having Covid in October 2020. No matter what I tryMedDRA releases: 2024-11 · check-in free text available
-
2022-05-25
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna | |
| 2 | 2021-05-25 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I was freezing and couldnt get out of bed.. I was having trouble breathing but not as bad as when I had Covid . now my back is killing me.
Release 8 — day 28, dose 1
Symptoms: Im still having breathing issues.. its not from the vaccine its from Covid. I had Covid in October 2020 And ended up on an inhaler. And I dont know if its the weather or allergies my breathing is horrible and I am on the inhaler again
Release 10 — 6 months, dose 1
Symptoms: Horrible migraines and pains in my arm down to my hand where I got the shot
Healthcare visit (other): Neurologist
Release 11 — 12 months, dose 2
Symptoms: I'm tired all the time. I've had issues with breathing ever since having Covid in October 2020. No matter what I try
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 | Dyspnoea | ✓ | ✓ | ○ |
| SD | Fatigue | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Bedridden | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release