3DN-30386-36945
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
-
2021-01-21
Survey response — day 7, dose 1MedDRA: Fatigue, Headache, Malaise, Paranasal sinus discomfort, Telemedicine — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Yesterday started to have delayed reaction at my injection site and was not feeling well/generally tired, on off mild headache, sinuses irritated) · Healthcare visit (other): Still waiting results of E-visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-11
Dose 2 — Moderna
-
2021-02-26
Survey response — day 14, dose 2MedDRA: Chills, Headache, Nausea, Pyrexia, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Had fever, nausea, vomiting, chills, and a splitting headache for 2 days after second vaccine. Fine by day 3 & thereafterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-25
- 2021-03-26
- 2021-05-13
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2021-08-12
Survey response — 6 months, dose 2MedDRA: Neuropathy peripheral, Occupational therapy, Office visit — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: bilateral ulnar and median neuropathy. This actually started around time of my 2nd vaccine and is an ongoing problem. I doubt it is related but thought I'd still mention it. · Healthcare visit (other): Doctor visits and occupational therapy, orthopedics specialistMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Report sent to call center — 6 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)
- 2021-08-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Yesterday started to have delayed reaction at my injection site and was not feeling well/generally tired, on off mild headache, sinuses irritated)
Healthcare visit (other): Still waiting results of E-visit
Release 4 — day 14, dose 2
Symptoms: Had fever, nausea, vomiting, chills, and a splitting headache for 2 days after second vaccine. Fine by day 3 & thereafter
Release 9 — 6 months, dose 2
Symptoms: bilateral ulnar and median neuropathy. This actually started around time of my 2nd vaccine and is an ongoing problem. I doubt it is related but thought I'd still mention it.
Healthcare visit (other): Doctor visits and occupational therapy, orthopedics specialist
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 | Occupational therapy | ✓ | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Telemedicine | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release