6U9-32624-68143
5 vaccinations
17 coded responses
46 check-ins
17 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 786 / TX
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Moderna
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2021-03-07
Registered in v-safe
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Tremor — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, DiarrheaFree text: Weakness, shakinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Fair · Fever · Fatigue or tiredness, Nausea, DiarrheaFree text: Lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Aphthous ulcer, Lymph node pain — Feeling: Good · HeadacheFree text: Tender lymph nodes, canker sores in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Aphthous ulcer — Feeling: Fair · Fatigue or tiredness, DiarrheaFree text: Canker soresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
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2021-03-26
Survey response — day 21, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Recurring mild diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Dose 2 — Moderna
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mild nasal congestion, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-04-08
- 2021-04-11
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2021-04-16
Survey response — day 14, dose 2MedDRA: Arthralgia, Headache, Muscle spasms — Feeling: Good · Be unable to do your normal daily activitiesFree text: Feet cramping, spasming. Headache and shoulder ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 21, dose 2MedDRA: Muscle spasms — Feeling: GoodFree text: Feet cramping/seizing, especially at night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 28, dose 2MedDRA: Vertigo — Feeling: GoodFree text: Mild vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
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2021-07-03
Survey response — 3 months, dose 2MedDRA: Palpitations, Vertigo — Feeling: GoodFree text: Vertigo. First noted after 2nd dose. Has decreased in intensity with time.Heart palpitations. Occurs infrequently, but quite noticeable when it does.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-01
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2021-10-22
Dose 3 — Moderna
- 2021-10-29
- 2021-11-07
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
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2022-01-21
Survey response — 3 months, dose 3MedDRA: Abdominal pain, Back pain, Cough, Fatigue, Headache, Hypersensitivity, Pulmonary congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fatigue, severe headache, abdomen ache, uper back ache, sensitive throat, runny nose, minor lung congestion and slight cough.MedDRA releases: 2024-11 · check-in free text available
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2022-03-30
Dose 4 — Moderna
- 2022-04-15
- 2022-04-21
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2022-04-27
Survey response — day 28, dose 4MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest congestion, dry cough, fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Survey response — day 35, dose 4MedDRA: Office visit, Pneumonia — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Diagnosed with pneumonia. · Healthcare visit (other): Chest xrays at radiological facilityMedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-05
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2022-05-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-11
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2022-06-29
Survey response — 3 months, dose 4MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Inexplicable fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Dose 5 — Moderna
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2022-09-17
Survey response — days 1–6 daily, dose 5MedDRA: Discomfort, Visual impairment — Feeling: Good · Site: PainFree text: Ocular event (visual disturbance w/ pressure, but no pain)MedDRA releases: 2024-11 · check-in free text available
- 2022-09-18
- 2022-09-20
- 2022-09-22
- 2022-09-23
- 2022-09-30
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2022-10-14
Survey response — day 28, dose 5MedDRA: Nasal congestion, Pulmonary congestion — Feeling: FairFree text: Slight nasal and lung congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
| 5 | 2022-09-16 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Weakness, shakiness
Systemic reaction (other): Lack of appetite
Systemic reaction (other): Tender lymph nodes, canker sores in mouth
Systemic reaction (other): Canker sores
Release 6 — day 21, dose 1
Symptoms: Recurring mild diarrhea.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Mild nasal congestion, runny nose
Systemic reaction (other): Dizziness
Release 7 — day 14, dose 2
Symptoms: Feet cramping, spasming. Headache and shoulder ache.
Release 7 — day 21, dose 2
Symptoms: Feet cramping/seizing, especially at night.
Release 8 — day 28, dose 2
Symptoms: Mild vertigo
Release 9 — 3 months, dose 2
Symptoms: Vertigo. First noted after 2nd dose. Has decreased in intensity with time.Heart palpitations. Occurs infrequently, but quite noticeable when it does.
Release 10 — 3 months, dose 3
Symptoms: Fatigue, severe headache, abdomen ache, uper back ache, sensitive throat, runny nose, minor lung congestion and slight cough.
Release 11 — day 28, dose 4
Symptoms: Chest congestion, dry cough, fatigue.
Release 11 — day 35, dose 4
Symptoms: Diagnosed with pneumonia.
Healthcare visit (other): Chest xrays at radiological facility
Release 12 — 3 months, dose 4
Symptoms: Inexplicable fatigue.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Ocular event (visual disturbance w/ pressure, but no pain)
Release 12 — day 28, dose 5
Symptoms: Slight nasal and lung congestion.
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 | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Aphthous ulcer | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release