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
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
-
2021-02-04
Survey response — day 0, dose 1MedDRA: Hypoaesthesia, Immediate post-injection reaction, Paraesthesia oral, Pharyngeal paraesthesia — Feeling: Good · Site: Pain · DiarrheaFree 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
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body achesFree text: I had a Pfizer vaccination , not a Maderna, I dont know if you guys can update the system. Thank youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-02-28
Dose 2 — Pfizer-BioNTech
-
2021-02-28
Survey response — day 0, dose 2MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Swelling · Nausea · Be unable to do your normal daily activitiesFree text: Right after vaccination was administeredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
-
2021-03-28
Survey response — day 28, dose 2MedDRA: Abdominal discomfort, Diverticulitis, Illness, Office visit, Pre-existing disease, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activitiesFree 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 2000MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
-
2021-04-11
Survey response — day 42, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Just more tired n fatigue, drainedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
- 2021-08-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-02-28 | Pfizer-BioNTech |
Free text
Release 3 — day 0, dose 1
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
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
Systemic reaction (other): Right after vaccination was administered
Release 6 — day 28, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Diverticulitis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Illness | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pharyngeal paraesthesia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release