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Z7S-46348-16269

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
786 / TX
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Survey response — day 0, dose 1
    MedDRA: Anxiety, Hot flush, Nausea, Pre-existing disease — Feeling: Fair
    Free text: I have these things all the time because I have about 6 chronic conditions, so far I feel fine after the first dose. I have high anxiety also so any nausea or hot flashes or anything is just normal for me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Nausea
    Adult check-in
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood glucose increased, Diabetes mellitus, Pre-existing disease — Feeling: Fair
    Free text: not sure if this is the cause but Ive been having high blood sugars since the vaccination, could be a coincidence but just wanted to mention it. Im type 1 diabetic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood glucose increased — Feeling: Good
    Free text: just high blood sugars
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Survey response — day 21, dose 1
    MedDRA: Chest pain, Influenza B virus test positive, SARS-CoV-2 test positive, Vomiting — Feeling: Fair
    Free text: I started having symptoms on March 20th horrible chest pain, vomiting, no fever. thought it was just a flare up from my other health conditions. turns out I tested positive for flu-b and COVID. but I got tested on March 30th.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-06
    Dose 2 — Moderna
  13. 2021-04-06
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  15. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  16. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  17. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-20
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-04-27
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-05-18
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-10-05
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-06Moderna

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): I have these things all the time because I have about 6 chronic conditions, so far I feel fine after the first dose. I have high anxiety also so any nausea or hot flashes or anything is just normal for me

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): not sure if this is the cause but Ive been having high blood sugars since the vaccination, could be a coincidence but just wanted to mention it. Im type 1 diabetic

2021-03-16

Systemic reaction (other): just high blood sugars

Release 6 — day 21, dose 1

2021-04-01

Symptoms: I started having symptoms on March 20th horrible chest pain, vomiting, no fever. thought it was just a flare up from my other health conditions. turns out I tested positive for flu-b and COVID. but I got tested on March 30th.

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
SDChest pain ✓ ✓ ✓
SDInfluenza B virus test positive ✓ ✓ ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROBlood glucose increased ✓ ✓ ✓
SRODiabetes mellitus ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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