3B4-11037-87465
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 191 / PA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Moderna
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-03-27
Dose 2 — Moderna
-
2021-03-27
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: SweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
-
2021-04-24
Survey response — day 28, dose 2MedDRA: Medical counselling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I had my ivig yesterday. Blood pressure was high afterwards, and also today at times. I feel weak and tired when it happens. Not a typical reaction. · Healthcare visit (other): Spoke to my nurse. Will follow up to see whats going onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-01
- 2021-05-08
-
2021-06-26
Survey response — 3 months, dose 2MedDRA: Dysstasia, Ear pruritus, Gait disturbance, Nausea, Office visit, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Extreme ear throat & lobe itchiness-like I had the night of my 2nd vax. Hard to stand or walk at times due to nausea. Went to ENT. Meds/rest now improving. (Didnt think that these symptoms were vax related during the 1st week after vax). · Healthcare visit (other): In person drs officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-29
- 2021-06-29
-
2021-06-29
Call successfulCompleted over the phone
- 2021-09-26
- 2022-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sweats
Release 7 — day 28, dose 2
Symptoms: I had my ivig yesterday. Blood pressure was high afterwards, and also today at times. I feel weak and tired when it happens. Not a typical reaction.
Healthcare visit (other): Spoke to my nurse. Will follow up to see whats going on
Release 9 — 3 months, dose 2
Symptoms: Extreme ear throat & lobe itchiness-like I had the night of my 2nd vax. Hard to stand or walk at times due to nausea. Went to ENT. Meds/rest now improving. (Didnt think that these symptoms were vax related during the 1st week after vax).
Healthcare visit (other): In person drs office
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Dysstasia | ✓ | ✓ | ✓ |
| SD | Ear pruritus | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release