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68K-19619-39128

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
784 / TX
Registered
2021-02-04
Relationship
Self
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-04
    Registered in v-safe
  2. 2021-02-04
    Dose 1 — Moderna
  3. 2021-02-04
    Survey response — day 0, dose 1
    MedDRA: Hypoaesthesia, Immediate post-injection reaction, Paraesthesia oral, Pharyngeal paraesthesia — Feeling: Good · Site: Pain · Diarrhea
    Free text: When the vaccination was first administered within three minutes after I got some tingling in my throat that went to my tongue then I had the tingling around my lips with some numbness in both my right and left arms felt numb from the shoulder to the elbow it lasted maybe 30 to 45 minutes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: I had a Pfizer vaccination , not a Maderna, I dont know if you guys can update the system. Thank you
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-28
    Dose 2 — Pfizer-BioNTech
  14. 2021-02-28
    Survey response — day 0, dose 2
    MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Swelling · Nausea · Be unable to do your normal daily activities
    Free text: Right after vaccination was administered
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  17. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  18. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-28
    Survey response — day 28, dose 2
    MedDRA: Abdominal discomfort, Diverticulitis, Illness, Office visit, Pre-existing disease, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I felt ill immediately over night, discomfort in the abdomen. Went to dr. , I had diverticulitis, UTI, and RBC was 3-10 A. TSH 19.900. I am on thyroid meds 137mcg. I had a complete thyroidectomy in 2000
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-11
    Survey response — day 42, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Just more tired n fatigue, drained
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-02-28Pfizer-BioNTech

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): When the vaccination was first administered within three minutes after I got some tingling in my throat that went to my tongue then I had the tingling around my lips with some numbness in both my right and left arms felt numb from the shoulder to the elbow it lasted maybe 30 to 45 minutes.

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): I had a Pfizer vaccination , not a Maderna, I dont know if you guys can update the system. Thank you

Release 4 — day 0, dose 2

2021-02-28

Systemic reaction (other): Right after vaccination was administered

Release 6 — day 28, dose 2

2021-03-28

Symptoms: I felt ill immediately over night, discomfort in the abdomen. Went to dr. , I had diverticulitis, UTI, and RBC was 3-10 A. TSH 19.900. I am on thyroid meds 137mcg. I had a complete thyroidectomy in 2000

Release 7 — day 42, dose 2

2021-04-11

Symptoms: Just more tired n fatigue, drained

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
SDAbdominal discomfort ✓ ✓ ✓
SDDiverticulitis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDIllness ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDUrinary tract infection ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction · · ✓
SROParaesthesia oral ✓ ✓ ✓
SROPharyngeal paraesthesia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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