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ZTN-11514-55587

3 vaccinations 8 coded responses 20 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
787 / TX
Registered
2021-04-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Dose 1 — Moderna
  2. 2021-04-22
    Dose 2 — Moderna
  3. 2021-04-25
    Registered in v-safe
  4. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Musculoskeletal chest pain, Tenderness — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Symptoms similar to gallbladder issues - pain just beneath my rib cage and if I press on my gallbladder it hurts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Severe dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-01
    Survey response — day 7, dose 2
    MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities
    Free text: Constant severe dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-05-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-20
    Survey response — day 28, dose 2
    MedDRA: Dry mouth, Immediate post-injection reaction, Influenza like illness — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Same exact flu like symptoms as immediately after the shot including severe cotton mouth. I am 5 days in tracking exactly as 2 weeks ago just as severe
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-27
    Survey response — day 35, dose 2
    MedDRA: Dry mouth, Dysgeusia, Lymphadenopathy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Dry mouth is getting worse. Food tastes bitter and lymph node swelling continues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-04
    Survey response — day 42, dose 2
    MedDRA: Dry mouth, Lymphadenopathy, Taste disorder — Feeling: Good · Be unable to do your normal daily activities
    Free text: The dry mouth and taste issues have continued. Swelling of lymph nodes has finally subsided
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-10-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2022-01-30
    Dose 3 — Moderna
  15. 2022-01-30
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  16. 2022-02-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Joint pains
    Adult check-in
  17. 2022-02-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Taste disorder — Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body aches
    Free text: Taste issues
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-02-08
    Survey response — day 7, dose 3
    MedDRA: Headache — Feeling: Good
    Free text: Headaches
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-02-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-02-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-03-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-03-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-03-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-05-05
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-22Moderna
32022-01-30Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Symptoms similar to gallbladder issues - pain just beneath my rib cage and if I press on my gallbladder it hurts

2021-04-27

Systemic reaction (other): Severe dry mouth

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Constant severe dry mouth

Release 8 — day 28, dose 2

2021-05-20

Symptoms: Same exact flu like symptoms as immediately after the shot including severe cotton mouth. I am 5 days in tracking exactly as 2 weeks ago just as severe

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Dry mouth is getting worse. Food tastes bitter and lymph node swelling continues

Release 8 — day 42, dose 2

2021-06-04

Symptoms: The dry mouth and taste issues have continued. Swelling of lymph nodes has finally subsided

Release 11 — days 1–6 daily, dose 3

2022-02-05

Systemic reaction (other): Taste issues

Release 11 — day 7, dose 3

2022-02-08

Systemic reaction (other): Headaches

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
SDDry mouth ✓ ✓ ✓
SDDysgeusia ✓ ✓ ✓
SDImmediate post-injection reaction ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDTaste disorder ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROHeadache · · ✓
SROMusculoskeletal chest pain ✓ ✓ ✓
SROTaste disorder · · ✓
SROTenderness ✓ ✓ ✓

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