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XZT-98058-64763

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
787 / TX
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-02
    Registered in v-safe
  2. 2021-04-02
    Dose 1 — Moderna
  3. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-09
    Survey response — day 7, dose 1
    MedDRA: Cold sweat, Dizziness, Dyspnoea, Hyperhidrosis — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Slight shortage of breath profuse sweating clammy skin dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-16
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Back pain, Chills, Cold sweat, Dizziness, Headache, Hyperhidrosis, Influenza like illness, Myalgia, Nausea, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Fever chills muscle and joint aches dizziness nausea my back really hurt right in the middle I was constantly clammy sweating with fever I felt almost like I had a mild flu
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-01
    Dose 2 — Moderna
  11. 2021-05-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Affective disorder, Cold sweat, Hyperhidrosis — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Clammy, Sweaty, and very moody
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cold sweat, Dizziness, Headache, Hyperhidrosis, Nausea — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sweating clamminess Also I get dizzy nauseous and my head starts to pound when I do any exertion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Pain in my lower back is constant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-05-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-05-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-05
    Survey response — day 35, dose 2
    MedDRA: Pre-existing disease, Respiratory tract congestion, Sinus disorder — Feeling: Good · Be unable to do your normal daily activities
    Free text: Sinus allergies and congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Moderna
22021-05-01Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Dizziness

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Slight shortage of breath profuse sweating clammy skin dizziness

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Fever chills muscle and joint aches dizziness nausea my back really hurt right in the middle I was constantly clammy sweating with fever I felt almost like I had a mild flu

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Clammy, Sweaty, and very moody

2021-05-04

Systemic reaction (other): Sweating clamminess Also I get dizzy nauseous and my head starts to pound when I do any exertion

2021-05-05

Systemic reaction (other): Pain in my lower back is constant

Release 8 — day 35, dose 2

2021-06-05

Symptoms: Sinus allergies and 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
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCold sweat ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SROAffective disorder ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROCold sweat ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SRONausea ✓ ✓ ✓

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