CE5-17301-83506
4 vaccinations
8 coded responses
30 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 770 / TX
- Registered
- 2021-11-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
3S7-24892-42912
Child or adolescent in my care · Female · 2021-11-06
5CU-11776-35195
Child or adolescent in my care · Male · 2021-11-06
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-02-22
Dose 2 — Moderna
-
2021-11-06
Registered in v-safe
-
2021-11-29
Dose 3 — Moderna
- 2021-11-29
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-08
- 2021-12-13
-
2021-12-20
Survey response — day 21, dose 3MedDRA: Cough — Feeling: GoodFree text: Mild cough. I think it's allergies.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-02-28
- 2022-05-30
-
2022-11-29
Survey response — 12 months, dose 3MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: I had COVID in September 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-11-29
Report sent to call center — 12 months, dose 3Be 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)
- 2022-11-30
-
2022-12-04
Dose 4 — Moderna
- 2022-12-04
-
2022-12-05
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate increased, Insomnia — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Difficulty sleeping, slightly elevated heart rateMedDRA releases: 2024-11 · check-in free text available
-
2022-12-06
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, RednessFree text: Swelling in armpit near injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-12-08
-
2022-12-09
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling in armpitMedDRA releases: 2024-11 · check-in free text available
-
2022-12-10
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling in armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-12-11
- 2022-12-18
- 2022-12-25
-
2023-01-01
Survey response — day 28, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-01-08
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing, Viral infection — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-01-15
- 2023-03-05
- 2023-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | No |
| 2 | 2021-02-22 | Moderna | No |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-12-04 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 21, dose 3
Symptoms: Mild cough. I think it's allergies.
Release 12 — 12 months, dose 3
Symptoms: I had COVID in September 2022
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Difficulty sleeping, slightly elevated heart rate
Systemic reaction (other): Swelling in armpit near injection site
Systemic reaction (other): Swelling in armpit
Systemic reaction (other): Swelling in armpit
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release