B3H-64720-89169
3 vaccinations
3 coded responses
5 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 799 / TX
- Registered
- 2021-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-03-06
Dose 2 — Moderna
-
2021-12-29
Dose 3 — Moderna
-
2021-12-30
Registered in v-safe
-
2021-12-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work or attend schoolAdult check-in
-
2021-12-31
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Pain and swelling in armpitMedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-04
Survey response — days 1–6 daily, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Tested positive for covidMedDRA releases: 2024-11 · check-in free text available
-
2022-01-05
Survey response — day 7, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Tested positive for covidMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | No |
| 2 | 2021-03-06 | Moderna | No |
| 3 | 2021-12-29 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain and swelling in armpit
Systemic reaction (other): Tested positive for covid
Release 10 — day 7, dose 3
Systemic reaction (other): Tested positive for covid
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 |
|---|---|---|---|---|
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release