3DH-20075-54068
4 vaccinations
8 coded responses
32 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Pollakiuria — Feeling: Good · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Was up all night because I had to urinate 4 times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-26
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Contusion, Office visit — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Increase in bruises. Dr. has ordered a platelet test to check to see if the bruising is being caused by a low platelet count. · Healthcare visit (other): Dr. scheduled office visit for day after I calledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-29
Survey response — day 7, dose 1MedDRA: Contusion, Laboratory test — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Bruising: waiting for platelet count results to see if bruising is caused by low platelet countMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 14, dose 1MedDRA: Muscular weakness, Pruritus, Rash, Tremor — Feeling: Good · Be unable to do your normal daily activitiesFree text: My legs felt weak and shaky. My skin is itchy and I have a rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
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2021-02-22
Dose 2 — Moderna
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Redness, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
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2021-03-03
Health check-in — day 7, dose 2Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Survey response — day 14, dose 2MedDRA: Muscular weakness, Tremor — Feeling: Good · Be unable to do your normal daily activitiesFree text: Legs weak and shaky.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-22
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2021-03-29
Survey response — day 35, dose 2MedDRA: Initial insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Unable to fall asleep. Tossing and turning all night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-05-24
- 2021-05-27
- 2021-06-02
- 2021-08-23
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2021-10-27
Dose 3 — Moderna
- 2022-02-22
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2022-04-15
Dose 4 — Moderna
- 2022-04-27
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
- 2022-10-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Was up all night because I had to urinate 4 times.
Systemic reaction (other): Increase in bruises. Dr. has ordered a platelet test to check to see if the bruising is being caused by a low platelet count.
Healthcare visit (other): Dr. scheduled office visit for day after I called
Release 3 — day 7, dose 1
Systemic reaction (other): Bruising: waiting for platelet count results to see if bruising is caused by low platelet count
Release 3 — day 14, dose 1
Symptoms: My legs felt weak and shaky. My skin is itchy and I have a rash.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite.
Systemic reaction (other): Loss of appetite
Release 5 — day 14, dose 2
Symptoms: Legs weak and shaky.
Release 6 — day 35, dose 2
Symptoms: Unable to fall asleep. Tossing and turning all night.
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 | Initial insomnia | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Laboratory test | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release