5ZW-13780-20626
5 vaccinations
7 coded responses
53 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 782 / TX
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-02-28
Registered in v-safe
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-13
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site urticaria — Feeling: GoodFree text: When getting ready for bed on March 6 my right shoulder where I had gotten the Moderna shot was itchy. It had what looked like hives (red raised bumps) around the injection site. The next morning there were more but smaller bumps and the whole areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
-
2021-03-27
Dose 2 — Moderna
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessFree text: An overall blah feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-05-10
Survey response — day 42, dose 2MedDRA: Fatigue, Musculoskeletal stiffness — Feeling: GoodFree text: I have osteoporosis and osteoarthritis but for the last week, I have had a lot more stiffness throughout my whole body especially in my right hand than normally. Also Ive been a lot more tired than normally.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-27
Survey response — 3 months, dose 2MedDRA: Fall, Limb injury, Vasodilatation — 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: Injured hand due to a fallFound out I have a dilated portal veinI dont think either is related to the COVID vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-27
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
- 2021-09-25
-
2021-11-20
Dose 3 — Moderna
- 2021-11-26
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
-
2022-01-01
Survey response — day 42, dose 3MedDRA: Cough, Eye pruritus, Nasal congestion — Feeling: GoodFree text: Itchy eyes, stuffy nose, mild cough. I think it is cedar pollen allergies.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-19
-
2022-05-12
Dose 4 — Moderna
- 2022-05-12
-
2022-05-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Muscle or body achesAdult check-in
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
-
2022-10-14
Dose 5 — Moderna
- 2022-10-26
- 2022-10-30
- 2022-11-04
-
2022-11-11
Survey response — day 28, dose 5MedDRA: Back pain — Feeling: GoodFree text: BackacheMedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
-
2022-11-25
Survey response — day 42, dose 5MedDRA: Bone pain, Myalgia — Feeling: FairFree text: Muscle and bone aches.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-13
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 14, dose 1
Symptoms: When getting ready for bed on March 6 my right shoulder where I had gotten the Moderna shot was itchy. It had what looked like hives (red raised bumps) around the injection site. The next morning there were more but smaller bumps and the whole area cut off by CDC
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): An overall blah feeling
Release 8 — day 42, dose 2
Symptoms: I have osteoporosis and osteoarthritis but for the last week, I have had a lot more stiffness throughout my whole body especially in my right hand than normally. Also Ive been a lot more tired than normally.
Release 9 — 3 months, dose 2
Symptoms: Injured hand due to a fallFound out I have a dilated portal veinI dont think either is related to the COVID vaccine.
Release 10 — day 42, dose 3
Symptoms: Itchy eyes, stuffy nose, mild cough. I think it is cedar pollen allergies.
Release 12 — day 28, dose 5
Symptoms: Backache
Release 12 — day 42, dose 5
Symptoms: Muscle and bone aches.
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 | Back pain | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site urticaria | ✓ | ✓ | ✓ |
| SD | Limb injury | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Vasodilatation | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release