6E4-13899-62713
6 vaccinations
9 coded responses
36 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-12
Registered in v-safe
-
2021-03-12
Survey response — day 7, dose 1MedDRA: Chills, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Note-I have chronic chills and back/other joint issueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-23
Survey response — day 21, dose 1MedDRA: Immunisation reaction, Joint swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Im not sure if this is related but had shot on 3/2, then Covid arm started 3/9;that has been gone for a couple of days but inbetween my ankles would swell up and thats stopped now and theres a couple of minor weird things, gone now...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Survey response — day 28, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Ongoing-still feel spot where 1st was injected on 3/2. My second shot is tomorrow!!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Dose 2 — Moderna
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-07
Survey response — day 7, dose 2MedDRA: Insomnia — Feeling: Fair · Site: Redness, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Terribly sleepyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-05-05
Survey response — day 35, dose 2MedDRA: Back pain, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Additional Back/spine pain. · Healthcare visit (other): Two spinal stimulator adjustments and doctor visit and an upcoming injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-12
- 2021-06-30
-
2021-09-16
Dose 3 — ModernaCo-administered: Do not remember
-
2021-09-29
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-29
Survey response — 6 months, dose 2MedDRA: Lethargy, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sleepy/lethargicMedDRA releases: 2024-11 · check-in free text available
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
-
2021-12-16
Survey response — 3 months, dose 3MedDRA: Arthralgia, Condition aggravated, Pain, Physiotherapy, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: More chronic pain in both shoulders -worsening rips/tears; in PT to help and I've been avoiding surgery!MedDRA releases: 2024-11 · check-in free text available
- 2022-03-17
-
2022-03-29
Dose 4 — Moderna
-
2022-04-14
Survey response — day 14, dose 4MedDRA: Arthralgia, Back pain, Spinal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Aches n pains not Shot related:lumbar, spine, arthritis, etc.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-06-28
-
2022-08-02
Dose 5 — Moderna
- 2022-09-27
-
2022-09-30
Dose 6 — Moderna
- 2022-10-11
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 6MedDRA: COVID-19, Cough, Respiratory tract congestion, Sinus congestion, Sinusitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Covid/SARS positive:extreme cough/congestion; sinus congestion/infection.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-09-16 | Moderna | Do not remember |
| 4 | 2022-03-29 | Moderna | No |
| 5 | 2022-08-02 | Moderna | No |
| 6 | 2022-09-30 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Note-I have chronic chills and back/other joint issue
Release 6 — day 21, dose 1
Symptoms: Im not sure if this is related but had shot on 3/2, then Covid arm started 3/9;that has been gone for a couple of days but inbetween my ankles would swell up and thats stopped now and theres a couple of minor weird things, gone now...
Release 6 — day 28, dose 1
Symptoms: Ongoing-still feel spot where 1st was injected on 3/2. My second shot is tomorrow!!!!
Release 7 — day 7, dose 2
Systemic reaction (other): Terribly sleepy
Release 8 — day 35, dose 2
Symptoms: Additional Back/spine pain.
Healthcare visit (other): Two spinal stimulator adjustments and doctor visit and an upcoming injection
Release 9 — 6 months, dose 2
Symptoms: Sleepy/lethargic
Release 10 — 3 months, dose 3
Symptoms: More chronic pain in both shoulders -worsening rips/tears; in PT to help and I've been avoiding surgery!
Release 11 — day 14, dose 4
Symptoms: Aches n pains not Shot related:lumbar, spine, arthritis, etc.
Release 12 — 3 months, dose 6
Symptoms: Covid/SARS positive:extreme cough/congestion; sinus congestion/infection.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release