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359-68416-29359

1 vaccination 3 coded responses 15 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
937 / CA
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-02
    Registered in v-safe
  2. 2021-04-02
    Dose 1 — Moderna
  3. 2021-04-02
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Loss of consciousness, Tongue biting — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Free text: I bit my tongue last night, very badly, like when I've had epileptic seizures, totally unconcious. gran
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  6. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  7. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Vomiting — Feeling: Good · Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: I do not know if my symptoms were related to coughing hard, which happens alot with me due to particles in the air, or to the Covid vax #1. This is the first time I've had vomit come up, in years, to clarify. Could be unrelated. I don't know. g
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-09
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  11. 2021-04-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-23
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-30
    Health check-in — day 28, dose 1
    Feeling: Poor
    Adult check-in
  14. 2021-05-07
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-07-02
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-10-02
    Survey response — 6 months, dose 1
    MedDRA: Cholelithotomy, Gallbladder operation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Gall bladder surgery 3 days ago. Gall stones surgery in a tube 6 days ago. · Healthcare visit (other): Gall bladder surgery.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-02
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  18. 2021-10-04
  19. 2022-04-06
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-02Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): I bit my tongue last night, very badly, like when I've had epileptic seizures, totally unconcious. gran

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): I do not know if my symptoms were related to coughing hard, which happens alot with me due to particles in the air, or to the Covid vax #1. This is the first time I've had vomit come up, in years, to clarify. Could be unrelated. I don't know. g

Release 9 — 6 months, dose 1

2021-10-02

Symptoms: Gall bladder surgery 3 days ago. Gall stones surgery in a tube 6 days ago.
Healthcare visit (other): Gall bladder surgery.

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
HCVOGallbladder operation · · ✓
SDCholelithotomy · · ✓
SDGallbladder operation · · ✓
SROCough ✓ ✓ ✓
SROLoss of consciousness ✓ ✓ ✓
SROTongue biting ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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