TE6-56055-04907
4 vaccinations
3 coded responses
48 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 750 / TX
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Asthenopia, Vision blurred — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Eyes feel tired, harder to focus than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-07-01
- 2021-09-29
-
2021-12-02
Dose 3 — Moderna
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Site: PainFree text: Headache yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: Good · Site: PainFree text: Tender armpit on side where I got the booster shotMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-03-05
- 2022-06-02
-
2022-09-16
Dose 4 — ModernaCo-administered: Flu
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-09-16 | Moderna | Flu |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Eyes feel tired, harder to focus than normal
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Headache yesterday
Systemic reaction (other): Tender armpit on side where I got the booster shot
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 | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Vision blurred | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release