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
-
2021-04-07
Dose 1 — Moderna
-
2021-05-03
Registered in v-safe
- 2021-05-03
-
2021-05-05
Dose 2 — Moderna
-
2021-05-30
Survey response — day 21, dose 2MedDRA: 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 activitiesFree 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 workedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-07
Survey response — 3 months, dose 2MedDRA: 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 visitFree 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
-
2021-08-07
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-11-03
- 2021-11-23
-
2022-02-04
Dose 3 — Moderna
- 2022-05-05
- 2022-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2022-02-04 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — day 21, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Delirium | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Gingival pruritus | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release