2LQ-32231-27218
3 vaccinations
3 coded responses
28 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 077 / NJ
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-12
- 2021-02-18
- 2021-02-25
-
2021-02-26
Dose 2 — Moderna
-
2021-02-26
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Chills overnightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-20
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-29
- 2021-08-27
-
2021-11-15
Dose 3 — Moderna
-
2022-02-26
Survey response — 12 months, dose 2MedDRA: Hypoaesthesia, Paraesthesia, Paraesthesia oral, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Tingling of lip and tongue and one time led to tingling/numbness of left side of body including toes. Blood pressure was normal . It was purely sensory no loss of speech, or motor movement. It last only about 1-2 mins. · Healthcare visit (other): Mri of brain, echocardiogram, carotid Doppler, heart monitorMedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-17
-
2022-05-16
Survey response — 6 months, dose 3MedDRA: Ophthalmic migraine, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A possible Tia in January . All test are coming up negative ie mri of brain, echocardiogram, Doppler of carotid arteries, nuclear stress Tess, heart monitor for 10 days. Also June 2021 an increase of ocular migraines, and tingling of lip? · Healthcare visit (other): Cardiac work up etcMedDRA releases: 2024-11 · check-in free text available
-
2022-05-16
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-17
- 2022-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Chills overnight
Release 11 — 12 months, dose 2
Symptoms: Tingling of lip and tongue and one time led to tingling/numbness of left side of body including toes. Blood pressure was normal . It was purely sensory no loss of speech, or motor movement. It last only about 1-2 mins.
Healthcare visit (other): Mri of brain, echocardiogram, carotid Doppler, heart monitor
Release 11 — 6 months, dose 3
Symptoms: A possible Tia in January . All test are coming up negative ie mri of brain, echocardiogram, Doppler of carotid arteries, nuclear stress Tess, heart monitor for 10 days. Also June 2021 an increase of ocular migraines, and tingling of lip?
Healthcare visit (other): Cardiac work up etc
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Ophthalmic migraine | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Paraesthesia oral | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release