3DD-26154-11101
2 vaccinations
3 coded responses
6 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 212 / MD
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Depressed mood, Euphoric mood, Feeling abnormal — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workFree text: Yesterday I felt a weird emotional high and later felt a more emotional low later in the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
-
2021-08-10
Survey response — 6 months, dose 2MedDRA: Nasal congestion, Nasopharyngitis, Pre-existing disease, Productive cough, Rhinorrhoea, Secretion discharge — Feeling: GoodFree text: I had very mild cold symptoms, stuffy/runny nose, extremely mild cough that was not dry but coughing up mucous. It seemed to start up due to allergies from a new cat in the house, so not sure if it was even a full on cold or justan allergic reaction.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-09
Survey response — 12 months, dose 2MedDRA: Office visit, Tooth infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I developed an infection in the roots of my lower front teeth. It's probably not related. · Healthcare visit (other): DentistMedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I felt a weird emotional high and later felt a more emotional low later in the day.
Release 9 — 6 months, dose 2
Symptoms: I had very mild cold symptoms, stuffy/runny nose, extremely mild cough that was not dry but coughing up mucous. It seemed to start up due to allergies from a new cat in the house, so not sure if it was even a full on cold or justan allergic reaction. cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: I developed an infection in the roots of my lower front teeth. It's probably not related.
Healthcare visit (other): Dentist
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 | Office visit | · | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Secretion discharge | ✓ | · | ✓ |
| SD | Tooth infection | · | · | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Euphoric mood | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release