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5ZF-22988-80565

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
774 / TX
Registered
2021-04-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-23
    Registered in v-safe
  2. 2021-04-23
    Dose 1 — Moderna
  3. 2021-04-23
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  4. 2021-04-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Site: Pain
    Free text: Last night was very tired and went to bed early.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-04-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-07
    Survey response — day 14, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: My shoulder near the injection site got really tender. It hurt for a couple of days. Actually it felt like it was sore in the joint.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-21
    Dose 2 — Moderna
  14. 2021-05-21
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  16. 2021-05-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pain in extremity, Self-medication — Feeling: Good · Site: Pain
    Free text: I actually wanted to say this yesterday but passed this chance accidentally. The day of injection it did not hurt at all until about 4 or 5 hours later when it was hurting to even move my arm at all. I could not lift my arm without much pain. I took ibuprofen and it was much better by yesterday morning. Today it is better still but arm is still a little sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: The arm pain has pretty much vanished
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Night sweats — Feeling: Poor · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: During the night last night I had 2 separate instances of waking because of a cold sweat over my entire body. I was actually wet from head to toe.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-28
    Survey response — day 7, dose 2
    MedDRA: Decreased appetite, Dizziness — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Also dizziness and lack of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-04
    Survey response — day 14, dose 2
    MedDRA: Chills, Decreased appetite, Hypersomnia, Influenza like illness, Pain — Feeling: Good · Be unable to work
    Free text: I had a couple of days that I stayed in bed because I just did not feel good. Had flu like symptoms chills, aches, loss of appetite. I slept a lot also.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-05-21
    Survey response — 12 months, dose 2
    MedDRA: Toothache — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Toothache
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Moderna
22021-05-21Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Last night was very tired and went to bed early.

Release 8 — day 14, dose 1

2021-05-07

Symptoms: My shoulder near the injection site got really tender. It hurt for a couple of days. Actually it felt like it was sore in the joint.

Release 8 — days 1–6 daily, dose 2

2021-05-23

Systemic reaction (other): I actually wanted to say this yesterday but passed this chance accidentally. The day of injection it did not hurt at all until about 4 or 5 hours later when it was hurting to even move my arm at all. I could not lift my arm without much pain. I took ibuprofen and it was much better by yesterday morning. Today it is better still but arm is still a little sore.

2021-05-24

Systemic reaction (other): The arm pain has pretty much vanished

2021-05-26

Systemic reaction (other): During the night last night I had 2 separate instances of waking because of a cold sweat over my entire body. I was actually wet from head to toe.

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Also dizziness and lack of appetite

Release 8 — day 14, dose 2

2021-06-04

Symptoms: I had a couple of days that I stayed in bed because I just did not feel good. Had flu like symptoms chills, aches, loss of appetite. I slept a lot also.

Release 11 — 12 months, dose 2

2022-05-21

Symptoms: Toothache

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
SDChills ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDHypersomnia ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDToothache · · ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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