3E9-26664-95023
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 787 / TX
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-15
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Flank pain — Feeling: Poor · Vomiting · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Right flank pain, got worse this afternoon, to where I had to call 911, in ER now , think its coincidental, likely a kidney stone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Flank pain — Feeling: Fair · Be unable to workFree text: Right flank pain and in a nerve patternMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 2MedDRA: Emergency care, Flank pain — Feeling: Fair · Be unable to workFree text: The Rt flank I experienced at 3 days after the second shot, has persisted. Required ER visit due to severity of pain. Ruled out kidney stone. Now doctors think it me be shingles related pain, no rash or intercostal neuralgia or thoracic nerve root paMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-24
- 2021-03-06
- 2021-03-10
- 2021-04-28
- 2021-05-27
- 2021-07-28
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Right flank pain, got worse this afternoon, to where I had to call 911, in ER now , think its coincidental, likely a kidney stone.
Systemic reaction (other): Right flank pain and in a nerve pattern
Release 4 — day 14, dose 2
Symptoms: The Rt flank I experienced at 3 days after the second shot, has persisted. Required ER visit due to severity of pain. Ruled out kidney stone. Now doctors think it me be shingles related pain, no rash or intercostal neuralgia or thoracic nerve root pa cut off by CDC
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 |
|---|---|---|---|---|
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SRO | Flank pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release