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6YY-18981-79864

3 vaccinations 14 coded responses 36 check-ins 14 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
781 / TX
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-01-09
    Registered in v-safe
  3. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  4. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood pressure increased — Feeling: Good
    Free text: Higher blood pressure.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-17
    Survey response — day 7, dose 1
    MedDRA: Blood pressure increased — Feeling: Good
    Free text: Blood pressure is higher
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-22
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Hypertension — Feeling: Good
    Free text: Higher blood pressure and little fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-29
    Survey response — day 21, dose 1
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good
    Free text: 5 of Redness and itching around vaccination site at approx. 13-17 days. Tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-05
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-02-12
    Dose 2 — Moderna
  12. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  13. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia — Feeling: Fair · Site: Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Weak
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia — Feeling: Fair · Site: Itching · Be unable to do your normal daily activities
    Free text: Mild General Weakness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  19. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-02-26
    Survey response — day 14, dose 2
    MedDRA: Asthenia — Feeling: Fair
    Free text: Weak
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-19
    Survey response — day 35, dose 2
    MedDRA: Body temperature abnormal, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Diarrhea, slight temp
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-26
    Survey response — day 42, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: Type two diabetes. Have experienced about six blood glucose checks that are too low. Not necessarily a problem I just have to adjust my insulin.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-14
    Survey response — 3 months, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Just more tired that normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-13
    Survey response — 6 months, dose 2
    MedDRA: Fatigue, Influenza like illness, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school
    Free text: Continue to be a little more tired than normal. Went back to volunteering at (b)(6) Hospital after Moderna Vaccine. Flu-like mild symptoms for a Wednesday through Sunday. Did a Walgreen Home Covid Test - it was Negative. Hoping for Booster.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-10-22
    Dose 3 — Moderna
  28. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  29. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  30. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  31. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Chest pain
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-29
    Survey response — day 7, dose 3
    MedDRA: Chest pain — Feeling: Good
    Free text: Slight chest pain
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-26
    Survey response — 3 months, dose 3
    MedDRA: Asthenia, Cardiac flutter, Cough, Diarrhoea, Dizziness, Dyspnoea, Fatigue, Feeling hot, Headache, Heart rate irregular, Loss of consciousness, Myalgia, Night sweats, Oropharyngeal pain, Syncope, Tremor — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Fainted day after Moderna Booster. 2 mo later passed out again, short of breath, weak, tired, headache, diarrhea, light-headed, kind of shaky, heart flutter, heard/felt heartbeat, muscle aches, night sweats, sudden hot, NO fever sore throat cough co
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-01-26
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  40. 2022-03-24
  41. 2022-04-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-10-24
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-12Moderna
32021-10-22Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Higher blood pressure.

Release 2 — day 7, dose 1

2021-01-17

Systemic reaction (other): Blood pressure is higher

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Higher blood pressure and little fatigue.

Release 3 — day 21, dose 1

2021-01-29

Symptoms: 5 of Redness and itching around vaccination site at approx. 13-17 days. Tired.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Weak

2021-02-16

Systemic reaction (other): Mild General Weakness

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Weak

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Diarrhea, slight temp

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Type two diabetes. Have experienced about six blood glucose checks that are too low. Not necessarily a problem I just have to adjust my insulin.

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Just more tired that normal.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Continue to be a little more tired than normal. Went back to volunteering at (b)(6) Hospital after Moderna Vaccine. Flu-like mild symptoms for a Wednesday through Sunday. Did a Walgreen Home Covid Test - it was Negative. Hoping for Booster.
redacted (b)(6)

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Chest pain

Release 10 — day 7, dose 3

2021-10-29

Systemic reaction (other): Slight chest pain

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Fainted day after Moderna Booster. 2 mo later passed out again, short of breath, weak, tired, headache, diarrhea, light-headed, kind of shaky, heart flutter, heard/felt heartbeat, muscle aches, night sweats, sudden hot, NO fever sore throat cough co cut off by CDC

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ ✓ ✓
SDBody temperature abnormal ✓ ✓ ✓
SDCardiac flutter · · ✓
SDCondition aggravated ✓ ✓ ✓
SDCough · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness · · ✓
SDDyspnoea · · ✓
SDFatigue ✓ ✓ ✓
SDFeeling hot · · ✓
SDHeadache · · ✓
SDHeart rate irregular · · ✓
SDHypertension ✓ ✓ ✓
SDInfluenza like illness ✓ · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDLoss of consciousness · · ✓
SDMyalgia · · ✓
SDNight sweats · · ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ · ✓
SDSyncope · · ✓
SDTremor · · ✓
SROAsthenia ✓ ✓ ✓
SROBlood pressure increased ✓ ✓ ✓
SROChest pain · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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