68A-11147-06764
3 vaccinations
10 coded responses
30 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 761 / TX
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Fever · ChillsAdult check-in
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Therapeutic response unexpected — Feeling: Good · Site: Pain · Fever · ChillsFree text: Coincidentally Ive recently felt a significant decrease in pain level I was having and it had nothing to do with the injection site..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Injection site pruritus — Feeling: Good · Site: Pain · Fever · ChillsFree text: But the chills are minor; and an itch just below the injection site I think is part of the healing process.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 21, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Soreness in the arm I got the first vaccine administered.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Dose 2 — Moderna
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
-
2021-05-19
Survey response — day 42, dose 2MedDRA: Paranasal sinus discomfort, Self-medication — Feeling: GoodFree text: Sinus pressure. So I took an over the counter allergy medicine and it went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-07
Survey response — 3 months, dose 2MedDRA: Insomnia — Feeling: Good · Be unable to work or attend schoolFree text: A couple nights ago I couldn't sleep so its for one night but felt better today to be able to go to workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-08
-
2022-01-27
Dose 3 — Moderna
-
2022-01-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, HeadacheAdult check-in
-
2022-01-29
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, COVID-19 — Feeling: Good · Site: Pain · Fever · HeadacheFree text: Yesterday was worse than today considering a month ago I was covid positive. And have recovered etcMedDRA releases: 2024-11 · check-in free text available
- 2022-02-01
- 2022-02-02
-
2022-02-03
Survey response — day 7, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: Ive already had covid 19 and got over it ~30 days before receiving my booster shotMedDRA releases: 2024-11 · check-in free text available
- 2022-02-10
- 2022-02-18
- 2022-02-24
- 2022-03-03
-
2022-03-10
Survey response — day 42, dose 3MedDRA: Throat irritation — Feeling: GoodFree text: Scratchy throat irritation but likely from talking all day at work, more than I usually am needed to.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
-
2022-07-28
Survey response — 6 months, dose 3MedDRA: Diarrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Watery stools for 3 x in one day. But not more than thatMedDRA releases: 2024-11 · check-in free text available
-
2023-01-29
Survey response — 12 months, dose 3MedDRA: Injection site pain, Muscle spasms, Sensory disturbance — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2022-01-27 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Coincidentally Ive recently felt a significant decrease in pain level I was having and it had nothing to do with the injection site..
Systemic reaction (other): But the chills are minor; and an itch just below the injection site I think is part of the healing process.
Release 6 — day 21, dose 1
Symptoms: Soreness in the arm I got the first vaccine administered.
Release 8 — day 42, dose 2
Symptoms: Sinus pressure. So I took an over the counter allergy medicine and it went away.
Release 9 — 3 months, dose 2
Symptoms: A couple nights ago I couldn't sleep so its for one night but felt better today to be able to go to work
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday was worse than today considering a month ago I was covid positive. And have recovered etc
Release 11 — day 7, dose 3
Systemic reaction (other): Ive already had covid 19 and got over it ~30 days before receiving my booster shot
Release 11 — day 42, dose 3
Symptoms: Scratchy throat irritation but likely from talking all day at work, more than I usually am needed to.
Release 12 — 6 months, dose 3
Symptoms: Watery stools for 3 x in one day. But not more than that
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 | Diarrhoea | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release