62B-57010-52473
3 vaccinations
8 coded responses
30 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 774 / TX
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
-
2021-01-27
Survey response — day 0, dose 1MedDRA: Pain in extremity, Pre-existing disease, Self-medication — Feeling: Fair · HeadacheFree text: I had a tension headache already before the shot, took a headache OTC pill and it's better.My arm is a bit sore this evening not too bad though.No reddness or swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Flushing — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Feel kind of flushed off and on but can't tell if it's me or rhw vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-04
- 2021-02-11
-
2021-02-17
Survey response — day 21, dose 1MedDRA: Condition aggravated, Feeling of body temperature change, Hyperhidrosis, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My afib has acted up more frequently even though I haven't missed any meds for it.I have experienced hot and cold spells and some sweating off and on.seeing my primary/ pain doc tomorrow routine monthly appt.will ask him what to do.He may change my mMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-03
-
2021-03-05
Dose 2 — Moderna
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Pain, Pyrexia — Feeling: Fair · Joint pains, Muscle or body achesFree text: The first 2 days after 2nd vaccine I felt feverish,aches,chills,tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
-
2021-03-12
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: A bit dizzy too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-27
- 2021-04-02
- 2021-04-09
- 2021-04-17
- 2021-06-04
- 2021-09-03
-
2021-10-25
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Arthritis, Pre-existing disease — Feeling: Fair · Joint painsFree text: I have arthritis,pain is worse w/ each vaccine for awhile,then seems to fade but takes a couple weeks!!!MedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Health check-in — day 7, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-11-09
- 2021-11-15
- 2021-11-22
- 2021-11-30
-
2021-12-07
Survey response — day 42, dose 3MedDRA: Atrial fibrillation, Blood pressure decreased, Dizziness, Emergency care, Hyperhidrosis, Malaise, Pre-existing disease, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I've had 2 episodes of my blood pressure dropping real low and breaking out in a bad sweat,vomited,and felt like I was passing out then it passed.I do not know if it's vaccine related or not! I have Afib but have not had this happen before like this! · Healthcare visit (other): 2nd time I just stayed in ambulance about 30 minutes and went home.1rst time went by ambulance to Emergency Room! Each shot made me feel sick for 5-7 days.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-10
- 2022-01-26
-
2022-04-26
Survey response — 6 months, dose 3MedDRA: Sinusitis, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus infection and upper respiratory infection for 3 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): I had a tension headache already before the shot, took a headache OTC pill and it's better.My arm is a bit sore this evening not too bad though.No reddness or swelling.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Feel kind of flushed off and on but can't tell if it's me or rhw vaccine.
Release 4 — day 21, dose 1
Symptoms: My afib has acted up more frequently even though I haven't missed any meds for it.I have experienced hot and cold spells and some sweating off and on.seeing my primary/ pain doc tomorrow routine monthly appt.will ask him what to do.He may change my m cut off by CDC
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The first 2 days after 2nd vaccine I felt feverish,aches,chills,tired.
Release 5 — day 7, dose 2
Systemic reaction (other): A bit dizzy too.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have arthritis,pain is worse w/ each vaccine for awhile,then seems to fade but takes a couple weeks!!!
Release 10 — day 42, dose 3
Symptoms: I've had 2 episodes of my blood pressure dropping real low and breaking out in a bad sweat,vomited,and felt like I was passing out then it passed.I do not know if it's vaccine related or not! I have Afib but have not had this happen before like this! cut off by CDC
Healthcare visit (other): 2nd time I just stayed in ambulance about 30 minutes and went home.1rst time went by ambulance to Emergency Room! Each shot made me feel sick for 5-7 days.
Release 11 — 6 months, dose 3
Symptoms: Sinus infection and upper respiratory infection for 3 weeks
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 | Emergency care | · | · | ✓ |
| HCVO | Malaise | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Blood pressure decreased | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Arthritis | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release