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2Q8-28900-46901

3 vaccinations 2 coded responses 6 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
925 / CA
Registered
2021-05-03
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-07
    Dose 1 — Moderna
  2. 2021-05-03
    Registered in v-safe
  3. 2021-05-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-05-05
    Dose 2 — Moderna
  5. 2021-05-30
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Chills, Delirium, Dizziness, Ear pain, Gait disturbance, Gingival pruritus, Headache, Nausea, Neck pain, Pain, Throat irritation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: May 5 through 8: headache, neck pain, throat and gum itching, body pain and chills, dizziness, delirious, ear pain(left ear only) nausea, no strength to walk with 18 hours. No pain meds worked
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-08-07
    Survey response — 3 months, dose 2
    MedDRA: Asthma, Cough, Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: My asthma is based on allergies or seasonal if not running. Had very bad Asthma attack. Non stop coughing. Never had it at this level since diagnosed at 19. Once in awhile still get the burst of coughing spell. No more Moderna. Yes to Phizer.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-07
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  8. 2021-11-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-11-23
  10. 2022-02-04
    Dose 3 — Moderna
  11. 2022-05-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2022-05-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Moderna
22021-05-05Moderna
32022-02-04Moderna No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-05-30

Symptoms: May 5 through 8: headache, neck pain, throat and gum itching, body pain and chills, dizziness, delirious, ear pain(left ear only) nausea, no strength to walk with 18 hours. No pain meds worked

Release 9 — 3 months, dose 2

2021-08-07

Symptoms: My asthma is based on allergies or seasonal if not running. Had very bad Asthma attack. Non stop coughing. Never had it at this level since diagnosed at 19. Once in awhile still get the burst of coughing spell. No more Moderna. Yes to Phizer.

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
SDAsthenia ✓ ✓ ✓
SDAsthma ✓ · ✓
SDChills ✓ ✓ ✓
SDCough ✓ · ✓
SDDelirium ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDGait disturbance ✓ ✓ ✓
SDGingival pruritus ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersensitivity ✓ · ✓
SDNausea ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDThroat irritation ✓ ✓ ✓

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