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6DE-21716-75672

2 vaccinations 8 coded responses 11 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
781 / TX
Registered
2021-04-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-22
    Dose 1 — Moderna
  2. 2021-04-26
    Registered in v-safe
  3. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting
    Adult check-in
  4. 2021-04-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest pain, Dizziness, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Chest pains, dizzyness, short breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-06
    Survey response — day 14, dose 1
    MedDRA: Pericardial effusion, Pleural effusion, Pneumonia, Pneumothorax — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Pneumonia, fluid around my heart and my left lower lung bottom collasped
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-22
    Survey response — day 28, dose 1
    MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Headache, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-24
    Dose 2 — Moderna
  8. 2021-06-02
    Health check-in — day 7, dose 2
    Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-06-07
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Feeling of body temperature change, Headache, Nasopharyngitis, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Headache , Sinus drainage, hot cold spells,Fatiuge
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-14
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-21
    Survey response — day 28, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Extreme Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-28
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-07-05
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Really fatigued more headaches and more severe headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-11-24
    Survey response — 6 months, dose 2
    MedDRA: Hallucination, auditory — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I hear things from people that they don't really say.All negatives and hurtful because there isn't a sherd of truth to them. Those things aren't of them that aren't of them.I was abused, lived through it myself, and say Break the cycle man! I did
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-22Moderna
22021-05-24Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-28

Systemic reaction (other): Chest pains, dizzyness, short breath

Release 8 — day 14, dose 1

2021-05-06

Symptoms: Pneumonia, fluid around my heart and my left lower lung bottom collasped

Release 8 — day 28, dose 1

2021-05-22

Symptoms: Headache, fatigue

Release 8 — day 14, dose 2

2021-06-07

Symptoms: Headache , Sinus drainage, hot cold spells,Fatiuge

Release 9 — day 21, dose 2

2021-06-14

Symptoms: Headaches

Release 9 — day 28, dose 2

2021-06-21

Symptoms: Extreme Fatigue

Release 9 — day 42, dose 2

2021-07-05

Symptoms: Really fatigued more headaches and more severe headaches

Release 10 — 6 months, dose 2

2021-11-24

Symptoms: I hear things from people that they don't really say.All negatives and hurtful because there isn't a sherd of truth to them. Those things aren't of them that aren't of them.I was abused, lived through it myself, and say Break the cycle man! I did cut off by CDC

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
SDFatigue ✓ ✓ ✓
SDFeeling of body temperature change ✓ ✓ ✓
SDHallucination, auditory · · ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis ○ ✓ ○
SDParanasal sinus hypersecretion ✓ ✓ ✓
SDPericardial effusion ✓ ✓ ✓
SDPleural effusion ✓ · ✓
SDPneumonia ✓ ✓ ✓
SDPneumothorax ✓ ✓ ✓
SDSinus congestion ○ ✓ ○
SROChest pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓

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