6UJ-11255-29525
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 782 / TX
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-05
Dose 1 — Moderna
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2021-04-06
Registered in v-safe
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Had a lot of congestion last night. It is now goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-04-08
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Muscle or body aches, DiarrheaAdult check-in
- 2021-04-10
- 2021-04-11
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2021-04-12
Survey response — day 7, dose 1MedDRA: Fatigue, Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: I had a sore throat and under my arm on the side I got my shot my lymph nodes are swollen and have been feeling very tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
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2021-04-26
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Just really tired and run downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Dose 2 — Moderna
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2021-05-03
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: Itching · HeadacheFree text: Little bit of dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-05
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-05-24
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2021-05-31
Survey response — day 28, dose 2MedDRA: Lymph node pain, Lymphadenopathy, Pain — Feeling: GoodFree text: My left lymph node on my neck got very swollen and sore. Also body aches. Lasted about 4 days. Also lymph node under rt arm pit got a little swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Survey response — day 35, dose 2MedDRA: Headache, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a mild fever 99.9 body aches and my head hurt. Felt bad for 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-14
- 2021-08-02
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2021-11-01
Survey response — 6 months, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Extremely tired and fatiguedMedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Survey response — 12 months, dose 2MedDRA: COVID-19, Hospitalisation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Got sick with the COVID virus. Virus settled in my brochial tubes. Got put in hospital. This was January 2022MedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Had a lot of congestion last night. It is now gone
Release 7 — day 7, dose 1
Systemic reaction (other): I had a sore throat and under my arm on the side I got my shot my lymph nodes are swollen and have been feeling very tired
Release 7 — day 21, dose 1
Symptoms: Just really tired and run down
Release 8 — day 0, dose 2
Systemic reaction (other): Little bit of dizziness
Release 8 — day 28, dose 2
Symptoms: My left lymph node on my neck got very swollen and sore. Also body aches. Lasted about 4 days. Also lymph node under rt arm pit got a little swollen
Release 8 — day 35, dose 2
Symptoms: I had a mild fever 99.9 body aches and my head hurt. Felt bad for 2 days
Release 10 — 6 months, dose 2
Symptoms: Extremely tired and fatigued
Release 11 — 12 months, dose 2
Symptoms: Got sick with the COVID virus. Virus settled in my brochial tubes. Got put in hospital. This was January 2022
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release