XZY-20577-64949
2 vaccinations
9 coded responses
22 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-02-03
Dose 1 — Moderna
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2021-02-04
Registered in v-safe
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2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal chest pain — Feeling: Good · Headache, Fatigue or tirednessFree text: The top center ends of both sets of ribs were hurtingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-02-10
- 2021-02-17
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2021-02-26
Survey response — day 21, dose 1MedDRA: Musculoskeletal chest pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Right rib pain for 2 days. Didn't go away even with ibuprofenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-04
Dose 2 — Moderna
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Adnexa uteri pain, Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ribs hurting, ovaries hurtingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-10
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2021-03-12
Survey response — day 7, dose 2MedDRA: Diarrhoea, Migraine — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Vomiting, DiarrheaFree text: Migraine before diarrhea and lasting afterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
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2021-04-01
Survey response — day 28, dose 2MedDRA: Injection site pain, Musculoskeletal chest pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Front of ribs hurting, muscle by injection site soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 35, dose 2MedDRA: Arthralgia, Headache, Injection site pain, Musculoskeletal chest pain, Myalgia — Feeling: FairFree text: Rib pain, muscle pain, headaches, injection shot muscle pain in shoulder bladeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 42, dose 2MedDRA: Injection site pain, Musculoskeletal chest pain — Feeling: FairFree text: Shoulder muscle hurting from injection site, right rib hurting at top end of rib, then both ribs at the top ends.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — 3 months, dose 2MedDRA: Dyspnoea — Feeling: FairFree text: I've been having some asthma related issues that have been dormant for years. Not able to catch my breath or work out the same because I'm struggling to catch my breath. Can't breathe after jumping in a pool.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-04
Survey response — 6 months, dose 2MedDRA: Asthma — Feeling: FairFree text: Having asthmatic symptomsMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): The top center ends of both sets of ribs were hurting
Release 4 — day 21, dose 1
Symptoms: Right rib pain for 2 days. Didn't go away even with ibuprofen
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Ribs hurting, ovaries hurting
Release 5 — day 7, dose 2
Systemic reaction (other): Migraine before diarrhea and lasting after
Release 6 — day 28, dose 2
Symptoms: Front of ribs hurting, muscle by injection site sore
Release 7 — day 35, dose 2
Symptoms: Rib pain, muscle pain, headaches, injection shot muscle pain in shoulder blade
Release 7 — day 42, dose 2
Symptoms: Shoulder muscle hurting from injection site, right rib hurting at top end of rib, then both ribs at the top ends.
Release 8 — 3 months, dose 2
Symptoms: I've been having some asthma related issues that have been dormant for years. Not able to catch my breath or work out the same because I'm struggling to catch my breath. Can't breathe after jumping in a pool.
Release 9 — 6 months, dose 2
Symptoms: Having asthmatic symptoms
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SRO | Adnexa uteri pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release