3H6-18276-83112
3 vaccinations
5 coded responses
14 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 065 / CT
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-11
Registered in v-safe
- 2021-01-11
- 2021-01-12
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-31
-
2021-02-05
Dose 2 — Moderna
-
2021-02-13
Survey response — day 7, dose 2MedDRA: Eye pain — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body achesFree text: Eye painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
-
2021-03-05
Survey response — day 28, dose 2MedDRA: Eye pain — Feeling: FairFree text: Pain in the back of my eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — day 35, dose 2MedDRA: Asthenia, Eye pain, Headache, Hypoaesthesia, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe headaches and severe pain in the back muscles. Strong pain in the back of the eyes. Numbness in the hands and a lot of weakness especially at night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-05-07
Survey response — 3 months, dose 2MedDRA: Abdominal distension, Amnesia, Asthenia, Dizziness, Hypoaesthesia, Inflammation, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Inflammation of the abdomen, feeling of fullness without having eaten food or having ingested a minimal portion of food, vomiting, numbness in the arms and dizziness, weakness in the body and twice my brain goes numb and sometimes my memory goes awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-06
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Dyspnoea, Myalgia, Nervousness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Muscular pain, pressure in my stomach that cause me sometimes dificulty to breath and nervs.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-23
-
2021-12-30
Dose 3 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-12-30 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): Eye pain
Release 5 — day 28, dose 2
Symptoms: Pain in the back of my eyes.
Release 5 — day 35, dose 2
Symptoms: Severe headaches and severe pain in the back muscles. Strong pain in the back of the eyes. Numbness in the hands and a lot of weakness especially at night.
Release 8 — 3 months, dose 2
Symptoms: Inflammation of the abdomen, feeling of fullness without having eaten food or having ingested a minimal portion of food, vomiting, numbness in the arms and dizziness, weakness in the body and twice my brain goes numb and sometimes my memory goes away cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Muscular pain, pressure in my stomach that cause me sometimes dificulty to breath and nervs.
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 | Abdominal discomfort | ✓ | · | ✓ |
| SD | Abdominal distension | ✓ | · | ✓ |
| SD | Amnesia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nervousness | ✓ | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release