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V95-11147-69082

2 vaccinations 2 coded responses 14 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
794 / TX
Registered
2021-08-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-10
    Dose 1 — Moderna
  2. 2021-08-11
    Registered in v-safe
  3. 2021-08-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-08-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-08-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea
    Adult check-in
  6. 2021-08-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-08-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-08-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-09-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-09-09
    Dose 2 — Moderna
  12. 2021-09-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations, Respiratory disorder — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Heart racing, needed to take deep breaths
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-09-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-09-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-10-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-09
    Survey response — day 28, dose 2
    MedDRA: Nasal congestion, Nasopharyngitis — Feeling: Fair
    Free text: Feeling of catching a cold. A little Nasal congestion.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-12-09
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-10Moderna No
22021-09-09Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-09-12

Systemic reaction (other): Heart racing, needed to take deep breaths

Release 10 — day 28, dose 2

2021-10-09

Symptoms: Feeling of catching a cold. A little Nasal congestion.

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

FieldPreferred term2021-092023-042024-11
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SROPalpitations · · ✓
SRORespiratory disorder · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release