Y9T-63009-76665
4 vaccinations
9 coded responses
35 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 761 / TX
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Moderna
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-05-12
Dose 2 — Moderna
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
-
2021-06-23
Survey response — day 42, dose 2MedDRA: Diarrhoea, Pyrexia — Feeling: GoodFree text: Fever, Diarrhea last weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-11
- 2021-11-10
-
2021-12-30
Dose 3 — Moderna
- 2021-12-31
- 2022-01-01
- 2022-01-02
- 2022-01-03
-
2022-01-04
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodFree text: Sore throat, mild congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-05
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodFree text: Mild congestion, mild sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-01-06
Survey response — day 7, dose 3MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Mild sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-01-13
Survey response — day 14, dose 3MedDRA: Erythema, Pruritus, Self-medication, Urticaria — Feeling: FairFree text: Hives in scalp, around neck, upper shoulders, back. Itchy, red patches that move around, among the locations listed. Treating with OTC anti-histamines.MedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Survey response — day 21, dose 3MedDRA: Self-medication, Urticaria — Feeling: FairFree text: Hives. They started the night of 1/10/21. They've improved with taking Zyrtec daily.MedDRA releases: 2024-11 · check-in free text available
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2022-01-27
Survey response — day 28, dose 3MedDRA: Self-medication, Urticaria — Feeling: FairFree text: Still have hives, still on OTC anti-histamine, Zyrtec once a dayMedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Survey response — day 35, dose 3MedDRA: Self-medication, Urticaria — Feeling: GoodFree text: Still have hives. Being managed with daily antihistaminesMedDRA releases: 2024-11 · check-in free text available
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2022-02-10
Survey response — day 42, dose 3MedDRA: Self-medication, Urticaria — Feeling: GoodFree text: Continuing hives, still managing with OTC antihistaminesMedDRA releases: 2024-11 · check-in free text available
- 2022-03-31
- 2022-06-30
-
2022-09-07
Dose 4 — ModernaCo-administered: Other
- 2022-10-16
- 2022-10-19
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-12 | Moderna | |
| 3 | 2021-12-30 | Moderna | No |
| 4 | 2022-09-07 | Moderna | Other |
Free text
Release 9 — day 42, dose 2
Symptoms: Fever, Diarrhea last week
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore throat, mild congestion
Systemic reaction (other): Mild congestion, mild sore throat
Release 10 — day 7, dose 3
Systemic reaction (other): Mild sore throat
Release 10 — day 14, dose 3
Symptoms: Hives in scalp, around neck, upper shoulders, back. Itchy, red patches that move around, among the locations listed. Treating with OTC anti-histamines.
Release 10 — day 21, dose 3
Symptoms: Hives. They started the night of 1/10/21. They've improved with taking Zyrtec daily.
Release 11 — day 28, dose 3
Symptoms: Still have hives, still on OTC anti-histamine, Zyrtec once a day
Release 11 — day 35, dose 3
Symptoms: Still have hives. Being managed with daily antihistamines
Release 11 — day 42, dose 3
Symptoms: Continuing hives, still managing with OTC antihistamines
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release