6UV-13394-09916
5 vaccinations
11 coded responses
49 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 767 / TX
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Moderna
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Hypersomnia — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Taking long naps each of 3 days since shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: GoodFree text: I have fibromyalgia and Ehlers-Danlos Syndrome so its hard to sort out various muscle & joint pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-06
- 2021-03-15
-
2021-03-19
Dose 2 — Moderna
- 2021-03-20
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My neck is stiff. I dont know if its from the vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Ehlers-Danlos syndrome, Fatigue, Fibromyalgia, Insomnia, Myalgia — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Its hard to sort out fatigue and muscle aches from my chronic conditions of fibromyalgia and Ehlers-Danlos Syndrome. I have had a hard time sleeping at night and have to take about 2 naps daily.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-30
Survey response — day 42, dose 2MedDRA: Cerebrovascular accident, Hypertension, Hypotension — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had a mild stroke that affects my vision. At the time I was also trying to lower my blood pressure because it had been high.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-20
- 2021-09-19
-
2021-11-02
Dose 3 — Moderna
- 2022-03-19
-
2022-04-28
Dose 4 — Moderna
-
2022-04-28
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-04-30
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2022-05-03
-
2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2022-05-05
Survey response — day 7, dose 4MedDRA: Abdominal pain, Colitis ulcerative, Pre-existing disease — Feeling: Good · Site: Pain · Abdominal painFree text: My abdominal pain is most likely related to my ulcerative colitis because I've had trouble getting my prescription refilled. So it probably doesn't have anything to do with the booster shot. My medicine for UC is often on back order.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-07-30
-
2022-10-10
Dose 5 — Moderna
- 2022-10-10
-
2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Feeling hot — Feeling: Good · FeverFree text: Just warmMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-14
- 2022-10-15
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2022-10-17
Survey response — day 7, dose 5MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Symptoms may be related to chronic diseasesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
-
2023-01-09
Survey response — 3 months, dose 5MedDRA: Office visit, Oral pain, Stress — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): Taking long naps each of 3 days since shot
Systemic reaction (other): I have fibromyalgia and Ehlers-Danlos Syndrome so its hard to sort out various muscle & joint pain.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My neck is stiff. I dont know if its from the vaccine or not.
Systemic reaction (other): Its hard to sort out fatigue and muscle aches from my chronic conditions of fibromyalgia and Ehlers-Danlos Syndrome. I have had a hard time sleeping at night and have to take about 2 naps daily.
Release 8 — day 42, dose 2
Symptoms: I had a mild stroke that affects my vision. At the time I was also trying to lower my blood pressure because it had been high.
Release 11 — day 0, dose 4
Systemic reaction (other): No
Release 11 — day 7, dose 4
Systemic reaction (other): My abdominal pain is most likely related to my ulcerative colitis because I've had trouble getting my prescription refilled. So it probably doesn't have anything to do with the booster shot. My medicine for UC is often on back order.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Just warm
Release 12 — day 7, dose 5
Systemic reaction (other): Symptoms may be related to chronic diseases
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 | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Colitis ulcerative | · | · | ✓ |
| SRO | Ehlers-Danlos syndrome | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release