SZP-86545-97118
4 vaccinations
5 coded responses
32 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 786 / TX
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
3LQ-58864-76989
Child or adolescent in my care · Female · 2022-06-28
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-02-12
- 2021-02-19
- 2021-03-02
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-09
-
2021-04-18
Survey response — day 42, dose 2MedDRA: Nasal congestion — Feeling: GoodFree text: Stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
-
2021-09-05
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a bad cold with a sore throat.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-17
Dose 3 — Pfizer-BioNTech
- 2022-03-05
-
2022-09-05
Dose 4 — ModernaCo-administered: Flu
-
2022-09-08
Survey response — days 1–6 daily, dose 4MedDRA: Back pain, Headache — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mid to lower back ache, bad headache last nightMedDRA releases: 2024-11 · check-in free text available
- 2022-09-12
- 2022-09-22
- 2022-10-05
-
2022-10-10
Survey response — day 35, dose 4MedDRA: Blood triglycerides increased — Feeling: GoodFree text: High triglyceride levelMedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-12-05
-
2023-03-06
Survey response — 6 months, dose 4MedDRA: Gastroenteritis viral, Vomiting — 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 · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-03-06
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2023-03-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-17 | Pfizer-BioNTech | No |
| 4 | 2022-09-05 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — day 42, dose 2
Symptoms: Stuffy nose
Release 9 — 6 months, dose 2
Symptoms: Had a bad cold with a sore throat.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Mid to lower back ache, bad headache last night
Release 12 — day 35, dose 4
Symptoms: High triglyceride level
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 | Blood triglycerides increased | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release