ZTS-19121-00828
4 vaccinations
5 coded responses
47 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 784 / TX
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Hypoaesthesia, Pain, Paraesthesia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: On February 10th,the day after I received the shot, I felt extremely fatigue, extreme soreness, numbness and tingling on the whole left side of my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
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2021-03-11
Dose 2 — Moderna
- 2021-03-11
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Poor · Muscle or body aches, Fatigue or tirednessFree text: Tingling in my left arm, hand, footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-26
- 2021-04-01
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2021-04-08
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Chills, Diarrhoea, Nausea, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I believe I have a stomach virus. I have Nausea, diarrhea, stomach pains, fevers and chills. It started on Monday so it's been about 4 days. I've been out of work for 3 days. I'm fully vaccinated but took a rapid test and I was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
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2021-11-22
Dose 3 — Moderna
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tirednessFree text: Sore armAdult check-in · check-in free text available
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2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Light headedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
- 2022-05-23
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2022-09-21
Dose 4 — Moderna
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2022-09-21
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2022-09-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
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2022-10-28
Survey response — day 35, dose 4MedDRA: Respiratory syncytial virus infection — Feeling: GoodFree text: RSVMedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-09-21 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): On February 10th,the day after I received the shot, I felt extremely fatigue, extreme soreness, numbness and tingling on the whole left side of my body.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Tingling in my left arm, hand, foot
Release 7 — day 28, dose 2
Symptoms: I believe I have a stomach virus. I have Nausea, diarrhea, stomach pains, fevers and chills. It started on Monday so it's been about 4 days. I've been out of work for 3 days. I'm fully vaccinated but took a rapid test and I was negative.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Light headed
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Sore arm
Release 12 — day 35, dose 4
Symptoms: RSV
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release