6LW-25112-74886
5 vaccinations
16 coded responses
64 check-ins
15 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 757 / TX
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
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2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
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2021-03-02
Dose 2 — Moderna
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2021-03-02
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · HeadacheFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Skin mass — Feeling: Good · Site: Pain, ItchingFree text: Not sure if related. Have 3 knot like mosquito bites on my head near my right earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-25
- 2021-03-30
- 2021-04-06
- 2021-04-14
- 2021-06-01
- 2021-09-01
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2021-11-04
Dose 3 — Moderna
- 2021-11-04
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-11-11
Survey response — day 7, dose 3MedDRA: Oral herpes, Vaccine positive rechallenge — Feeling: Good · Site: ItchingFree text: Fever blister with all 3 vaccinesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
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2021-11-25
Survey response — day 21, dose 3MedDRA: Dry eye, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Have developed dry eye. · Healthcare visit (other): Eye doctorMedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-02
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2021-12-11
Survey response — day 35, dose 3MedDRA: Dry eye, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dry eyes · Healthcare visit (other): Eye doctorMedDRA releases: 2024-11 · check-in free text available
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2021-12-11
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-14
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2021-12-16
Survey response — day 42, dose 3MedDRA: Dry eye, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dry eye · Healthcare visit (other): Eye doctorMedDRA releases: 2024-11 · check-in free text available
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2021-12-16
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-20
- 2022-01-14
- 2022-02-03
- 2022-05-05
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2022-05-13
Dose 4 — Moderna
- 2022-05-13
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2022-05-14
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-16
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Headache — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Head and shoulder is soreMedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Musculoskeletal stiffness, Stomatitis — Feeling: Poor · Site: Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Mouth sores,stiff neck,MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Survey response — days 1–6 daily, dose 4MedDRA: Ear pain, Lymphadenopathy, Mouth ulceration, Oral herpes, Oropharyngeal pain — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Fever blisters, ulcers in mouth, sore throat ear ache enlarged lymph nodesMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Survey response — days 1–6 daily, dose 4MedDRA: Ear pain, Musculoskeletal stiffness, Oropharyngeal pain — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, DiarrheaFree text: Ear ache, sore throat, stiff neckMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — day 7, dose 4MedDRA: Mouth ulceration, Oral herpes, Oropharyngeal pain — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat fever blisters mouth ulcersMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-04
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2022-06-10
Survey response — day 28, dose 4MedDRA: Dry eye, Eye pain, Muscle spasms — Feeling: FairFree text: Still having painful dry eyes and muscle spasmsMedDRA releases: 2024-11 · check-in free text available
- 2022-06-17
- 2022-06-24
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2022-08-12
Survey response — 3 months, dose 4MedDRA: Eyelid disorder, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Uti and still having an issue with eyelids.MedDRA releases: 2024-11 · check-in free text available
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2022-08-12
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-15
- 2022-08-15
- 2022-08-15
- 2022-08-15
- 2022-11-12
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2022-11-17
Dose 5 — Moderna
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2022-11-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-11-20
Survey response — days 1–6 daily, dose 5MedDRA: Ear pain, Headache, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Stiff neck, head is sore, ear acheMedDRA releases: 2024-11 · check-in free text available
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2022-11-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tirednessAdult check-in
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2022-11-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-24
Survey response — day 7, dose 5MedDRA: Tenderness — Feeling: Fair · Site: Pain, Redness · HeadacheFree text: Head and face are tenderMedDRA releases: 2024-11 · check-in free text available
- 2022-12-01
- 2022-12-08
- 2022-12-17
- 2022-12-23
- 2022-12-31
- 2023-02-16
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2023-05-20
Survey response — 6 months, dose 5MedDRA: Gastroenteritis viral — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-05-13 | Moderna | No |
| 5 | 2022-11-17 | Moderna | No |
Call center
4 call center cases
4 unsuccessful
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Dizzy
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Not sure if related. Have 3 knot like mosquito bites on my head near my right ear
Release 10 — day 7, dose 3
Systemic reaction (other): Fever blister with all 3 vaccines
Release 10 — day 21, dose 3
Release 10 — day 35, dose 3
Release 10 — day 42, dose 3
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Head and shoulder is sore
Systemic reaction (other): Mouth sores,stiff neck,
Systemic reaction (other): Fever blisters, ulcers in mouth, sore throat ear ache enlarged lymph nodes
Systemic reaction (other): Ear ache, sore throat, stiff neck
Release 11 — day 7, dose 4
Systemic reaction (other): Sore throat fever blisters mouth ulcers
Release 12 — day 28, dose 4
Symptoms: Still having painful dry eyes and muscle spasms
Release 12 — 3 months, dose 4
Symptoms: Uti and still having an issue with eyelids.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Stiff neck, head is sore, ear ache
Release 12 — day 7, dose 5
Systemic reaction (other): Head and face are tender
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 | Dry eye | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Eyelid disorder | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Mouth ulceration | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Oral herpes | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Skin mass | ✓ | ✓ | ✓ |
| SRO | Stomatitis | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release