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Z6G-10716-16696

1 vaccination 5 coded responses 9 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
770 / TX
Registered
2021-03-20
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Moderna
  3. 2021-03-20
    Survey response — day 0, dose 1
    MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tiredness
    Free text: Sneezing fits & runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Injected limb mobility decreased — Feeling: Poor · Chills, Headache, Joint pains · Be unable to do your normal daily activities
    Free text: Shot was given at top of left arm. Pain in shoulder is very bad. Can't move it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia, Nausea — Feeling: Fair · Nausea · Be unable to do your normal daily activities
    Free text: There's been a terribly bitter taste in my mouth & back of my throat for a few days. Maybe that's what's making the nausea so bad.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Nausea
    Adult check-in
  8. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  9. 2021-03-27
    Survey response — day 7, dose 1
    MedDRA: Chest discomfort — Feeling: Fair · Chills, Nausea · Be unable to do your normal daily activities
    Free text: Chest feels heavy & feels like work to breathe. Will call doctor if gets worse.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-03
    Survey response — day 14, dose 1
    MedDRA: Chills, Dizziness, Dysstasia, Throat clearing, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Scratchy throat, needing to clear throat frequently. Chills worse.Dizzy spells. Sometimes making me unable to stay upright.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Sneezing fits & runny nose

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Shot was given at top of left arm. Pain in shoulder is very bad. Can't move it.

2021-03-24

Systemic reaction (other): There's been a terribly bitter taste in my mouth & back of my throat for a few days. Maybe that's what's making the nausea so bad.

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Chest feels heavy & feels like work to breathe. Will call doctor if gets worse.

Release 6 — day 14, dose 1

2021-04-03

Symptoms: Scratchy throat, needing to clear throat frequently. Chills worse.Dizzy spells. Sometimes making me unable to stay upright.

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
SDChills ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDDysstasia ✓ ✓ ✓
SDThroat clearing ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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