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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

  1. 2021-04-19
    Dose 1 — Moderna
  2. 2021-04-20
    Registered in v-safe
  3. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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
  5. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-04-26
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  8. 2021-05-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-05-10
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-05-17
    Survey response — day 28, dose 1
    MedDRA: Dyspnoea, Pre-existing disease, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free 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 again
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-25
    Dose 2 — Moderna
  12. 2021-07-19
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-10-18
    Survey response — 6 months, dose 1
    MedDRA: 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 visit
    Free text: Symptoms: Horrible migraines and pains in my arm down to my hand where I got the shot · Healthcare visit (other): Neurologist
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-18
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2021-10-20
  16. 2022-05-25
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free text: I'm tired all the time. I've had issues with breathing ever since having Covid in October 2020. No matter what I try
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-05-25
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  18. 2022-05-26

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Moderna
22021-05-25Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-21

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

2021-05-17

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

2021-10-18

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

2022-05-25

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDDyspnoea ✓ ✓ ○
SDFatigue · · ✓
SDMigraine · · ✓
SDPain in extremity · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRespiratory disorder · · ✓
SROBack pain ✓ ✓ ✓
SROBedridden ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓

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