QK9-15832-48540
3 vaccinations
8 coded responses
16 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 754 / TX
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-20
Dose 1 — Moderna
-
2021-02-21
Registered in v-safe
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2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Site: Swelling · Headache, Nausea · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Very Mild pain at the injection spotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Lite dizziness off and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-06
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2021-03-13
Survey response — day 21, dose 1MedDRA: Nasopharyngitis — Feeling: FairFree text: ColdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Dose 2 — Moderna
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
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2021-06-19
Survey response — 3 months, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-11-25
Dose 3 — Moderna
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2022-03-22
Survey response — 12 months, dose 2MedDRA: Arthropathy, Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Headache and joint y · Healthcare visit (other): Community clinicMedDRA releases: 2024-11 · check-in free text available
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2022-03-22
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-23
- 2022-03-28
- 2022-05-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna | |
| 3 | 2021-11-25 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle aches
Systemic reaction (other): Dizzy
Systemic reaction (other): Very Mild pain at the injection spot
Systemic reaction (other): Lite dizziness off and on
Systemic reaction (other): Light headed
Release 5 — day 21, dose 1
Symptoms: Cold
Release 9 — 3 months, dose 2
Symptoms: Dizzy
Release 11 — 12 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Arthropathy | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release