6EJ-26519-97358
5 vaccinations
7 coded responses
40 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 770 / TX
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-17
- 2021-02-20
- 2021-02-27
-
2021-03-04
Survey response — day 21, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Aching in the hip joint area. Not sure if its due to vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
-
2021-03-13
Dose 2 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-29
- 2021-04-05
- 2021-04-10
-
2021-04-17
Survey response — day 35, dose 2MedDRA: Pollakiuria — Feeling: GoodFree text: Have had to urinate or the urge to urinate very frequently. Almost hourly basis during daytime hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
-
2021-06-12
Survey response — 3 months, dose 2MedDRA: Pollakiuria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Urge to urinate frequently.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-12
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-11
-
2021-10-24
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-07
- 2021-11-16
- 2021-11-21
- 2021-11-28
-
2021-12-05
Survey response — day 42, dose 3MedDRA: Back pain, Condition aggravated, Micturition urgency, Pre-existing disease — Feeling: FairFree text: Have the urge to urinate & lower back aches every now & then. May be due to my kidney stone which hadn't given me issues until shortly after my booster (a few days after).MedDRA releases: 2024-11 · check-in free text available
- 2022-01-23
- 2022-04-24
-
2022-06-30
Dose 4 — Moderna
- 2022-08-09
- 2022-08-11
-
2022-09-29
Survey response — 3 months, dose 4MedDRA: Cough, Rhinorrhoea, Throat irritation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, runny nose, itchy throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-30
-
2022-09-30
Call successfulNot applicable - Accidental Reporting
-
2022-10-08
Dose 5 — Moderna
- 2022-10-20
-
2022-10-24
Survey response — day 14, dose 5MedDRA: Rhinorrhoea, Sneezing — Feeling: FairFree text: Sneezing & runny nose.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-29
Survey response — day 21, dose 5MedDRA: Headache, Nasal congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Stuffy/Runny nose, headache,MedDRA releases: 2024-11 · check-in free text available
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2022-10-29
Report sent to call center — day 21, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2023-01-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-06-30 | Moderna | No |
| 5 | 2022-10-08 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 5 — day 21, dose 1
Symptoms: Aching in the hip joint area. Not sure if its due to vaccine or not.
Release 7 — day 35, dose 2
Symptoms: Have had to urinate or the urge to urinate very frequently. Almost hourly basis during daytime hours.
Release 9 — 3 months, dose 2
Symptoms: Urge to urinate frequently.
Release 10 — day 42, dose 3
Symptoms: Have the urge to urinate & lower back aches every now & then. May be due to my kidney stone which hadn't given me issues until shortly after my booster (a few days after).
Release 12 — 3 months, dose 4
Symptoms: Cough, runny nose, itchy throat.
Release 12 — day 14, dose 5
Symptoms: Sneezing & runny nose.
Release 12 — day 21, dose 5
Symptoms: Stuffy/Runny nose, headache,
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Micturition urgency | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pollakiuria | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release