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ZWL-69510-36702

4 vaccinations 9 coded responses 54 check-ins 9 free-text entries 3 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
754 / TX
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Hypersomnia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Extreme exhaustion. Slept for 24 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-13
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood pressure decreased, Hypersomnia, Somnolence, Spinal pain — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain in spine from neck down. Slept for 24 hours both days. Up for maybe an hour each day. Blood pressure dropped down low. 94/29, 77/48, 91/56, 82/58, 63/32, 73/48, 70/41
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-15
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  9. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pain — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: Pain in roght eye
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  11. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  13. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-02-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-02-11
    Dose 2 — Moderna
  17. 2021-02-11
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  18. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Movement disorder — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Cant lift arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Cant lift my arm. Same as first vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Mobility decreased — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Arm able to raise somewhat compared to yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain
    Free text: Arm painful to raise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  23. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Nausea
    Adult check-in
  24. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  25. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-03-18
    Survey response — day 35, dose 2
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Lots of diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-05-13
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Flank pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Back. Side pain right side. Vomitting.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  31. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2021-10-25
    Dose 3 — Moderna
  33. 2021-10-25
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  34. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  35. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  36. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Diarrhea
    Adult check-in
  37. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Diarrhea
    Adult check-in
  38. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  39. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  40. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  41. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  44. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  45. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-04-21
    Dose 4 — Moderna
  48. 2022-04-21
    Health check-in — day 0, dose 4
    Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school
    Adult check-in
  49. 2022-04-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  50. 2022-04-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  51. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  52. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  53. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  54. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  55. 2022-04-28
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  56. 2022-05-07
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-05-12
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-05-19
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-05-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  60. 2022-06-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  61. 2022-07-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  62. 2022-10-20
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-11Moderna
32021-10-25Moderna No
42022-04-21Moderna No

Call center

3 call center cases

3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Extreme exhaustion. Slept for 24 hours

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Pain in spine from neck down. Slept for 24 hours both days. Up for maybe an hour each day. Blood pressure dropped down low. 94/29, 77/48, 91/56, 82/58, 63/32, 73/48, 70/41

2021-01-16

Systemic reaction (other): Pain in roght eye

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Cant lift arm.

2021-02-13

Systemic reaction (other): Cant lift my arm. Same as first vaccine.

2021-02-14

Systemic reaction (other): Arm able to raise somewhat compared to yesterday

2021-02-15

Systemic reaction (other): Arm painful to raise

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Lots of diarrhea

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Back. Side pain right side. Vomitting.

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
SDBack pain ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFlank pain ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROBlood pressure decreased ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROMovement disorder ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROSpinal pain ✓ ✓ ✓

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

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