Y3H-14141-07990
3 vaccinations
8 coded responses
40 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 768 / TX
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
-
2021-01-28
Survey response — day 0, dose 1MedDRA: Dysgeusia, Muscle tightness — Feeling: GoodFree text: Jaw tightness and could taste the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold, Injection site pain, Musculoskeletal stiffness, Oral pruritus, Taste disorder — Feeling: GoodFree text: Still tasted vaccine off and on this morning. My jaw was a little stiff and I reacted more to the cold. No chills. Just felt a little cooler than usual. Shot site some sore if I pushed on it. Otherwise, it didnt hurt at all. Oh, the area around my mouth had a noticeable itch for about three minutes. Then it disappeared as quickly as it came. I had not eaten breakfast and since I dont normally have itches , I assume it was related to the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Exercise tolerance decreased, Fatigue — Feeling: GoodFree text: Felt okay until I tried to ride stationary bicycle. Extremely difficult to finish. Was tired for 30 or so minutes after exercising. Then rest of the day was fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-04
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2021-02-11
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Diarrhoea, Pre-existing disease, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Ended up with a really weird stomach bug this past Saturday and Sunday. Had severe stomach pains and cramps and diarrhea but absolutely no nausea. Think it was made worse by UTI meds I was taking and dont think it had any relation to COVID shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
-
2021-03-04
Survey response — day 0, dose 2MedDRA: Dizziness, Dysgeusia — Feeling: GoodFree text: Faint taste of medicine compared to strong taste last time. When shot was administered flat like I was about to get dizzy and light headed. However, it passed within 15 seconds. The funny feeling continued for five or six mi utes but no definite symptoms. Fine since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-11
Survey response — day 7, dose 2MedDRA: Dysgeusia, Vaccine positive rechallenge — Feeling: GoodFree text: Never did tell you I could taste the vaccine this time, too. It wasnt as strong a taste as the first time but it stayed with me until noontime the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-16
- 2021-06-03
- 2021-09-02
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2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Malaise, Pyrexia — Feeling: GoodFree text: Yesterday, I misunderstood the question about having fever. I had no fever related to any of my COVID shots. The fever I referred to was when I was ill in June.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-06
- 2021-11-11
- 2021-11-18
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
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2022-10-28
Survey response — 12 months, dose 3MedDRA: Dyspnoea, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breath and right leg keeps swellingMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Jaw tightness and could taste the shot.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Still tasted vaccine off and on this morning. My jaw was a little stiff and I reacted more to the cold. No chills. Just felt a little cooler than usual. Shot site some sore if I pushed on it. Otherwise, it didnt hurt at all. Oh, the area around my mouth had a noticeable itch for about three minutes. Then it disappeared as quickly as it came. I had not eaten breakfast and since I dont normally have itches , I assume it was related to the shot.
Systemic reaction (other): Felt okay until I tried to ride stationary bicycle. Extremely difficult to finish. Was tired for 30 or so minutes after exercising. Then rest of the day was fine.
Release 4 — day 14, dose 1
Symptoms: Ended up with a really weird stomach bug this past Saturday and Sunday. Had severe stomach pains and cramps and diarrhea but absolutely no nausea. Think it was made worse by UTI meds I was taking and dont think it had any relation to COVID shot.
Release 5 — day 0, dose 2
Systemic reaction (other): Faint taste of medicine compared to strong taste last time. When shot was administered flat like I was about to get dizzy and light headed. However, it passed within 15 seconds. The funny feeling continued for five or six mi utes but no definite symptoms. Fine since.
Release 5 — day 7, dose 2
Systemic reaction (other): Never did tell you I could taste the vaccine this time, too. It wasnt as strong a taste as the first time but it stayed with me until noontime the next day.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday, I misunderstood the question about having fever. I had no fever related to any of my COVID shots. The fever I referred to was when I was ill in June.
Release 12 — 12 months, dose 3
Symptoms: Shortness of breath and right leg keeps swelling
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Exercise tolerance decreased | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Oral pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release