Y4E-11993-13073
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 784 / TX
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
-
2021-03-23
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
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2021-04-06
Survey response — day 14, dose 1MedDRA: Herpes zoster — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have shingles on my left butt cheek ..i immune compromised...and have recyrrent shingles.....plz help me address.this and let me know what day i get 2nd dose so i can request off for 1 week. PlzMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 21, dose 1MedDRA: Dyspnoea, Herpes zoster — Feeling: Poor · Be unable to workFree text: Trouble breathing.. Shingles..on antiviralsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 28, dose 1MedDRA: Herpes zoster — Feeling: Fair · Be unable to workFree text: Another shingle. Outbreak. 2nd shot tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Dose 2 — Moderna
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-28
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Diarrhea, Abdominal painAdult check-in
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2021-04-30
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-07
- 2021-05-14
- 2021-05-21
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2021-05-28
Survey response — day 35, dose 2MedDRA: Bone pain, Cough, Fatigue, Myalgia, Pyrexia, Respiration abnormal, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Breathing issues cough fever muscle n bone aches fatigue and runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2021-07-23
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2021-10-22
Survey response — 6 months, dose 2MedDRA: Asthma, COVID-19, Herpes zoster, Unevaluable event — Feeling: Fair · Be unable to work or attend schoolFree text: Shingles asthma caught covid 19 and still going through major health issuesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Release 7 — day 14, dose 1
Symptoms: I have shingles on my left butt cheek ..i immune compromised...and have recyrrent shingles.....plz help me address.this and let me know what day i get 2nd dose so i can request off for 1 week. Plz
Release 7 — day 21, dose 1
Symptoms: Trouble breathing.. Shingles..on antivirals
Release 7 — day 28, dose 1
Symptoms: Another shingle. Outbreak. 2nd shot tomorrow
Release 8 — day 35, dose 2
Symptoms: Breathing issues cough fever muscle n bone aches fatigue and runny nose
Release 10 — 6 months, dose 2
Symptoms: Shingles asthma caught covid 19 and still going through major health issues
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 | Asthma | · | · | ✓ |
| SD | Bone pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiration abnormal | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release