3HD-19604-14508
2 vaccinations
3 coded responses
6 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 681 / NE
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-10
Dose 1 — Moderna
-
2021-04-09
Dose 2 — Moderna
-
2021-04-10
Registered in v-safe
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Disorientation, Medical counselling, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Woke up with terrible Chills. Took temperature 3 times and it was 95 degrees Fahrenheit. Was shivering and somewhat disoriented. My kid threw me in a warm bath and called my doctors office. Luckily the bath brought my temperature up. Now this morning I have a 100 degree fever. · Healthcare visit (other): Called drs office after hours and spoke to a nurse. She said if my temperature didnt raise, or if I lose consciousness or start shaking again, to go to the wrongMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Foggy brainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: I have hypothyroidismMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-10
- 2021-10-08
-
2022-03-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Woke up with terrible Chills. Took temperature 3 times and it was 95 degrees Fahrenheit. Was shivering and somewhat disoriented. My kid threw me in a warm bath and called my doctors office. Luckily the bath brought my temperature up. Now this morning I have a 100 degree fever.
Healthcare visit (other): Called drs office after hours and spoke to a nurse. She said if my temperature didnt raise, or if I lose consciousness or start shaking again, to go to the wrong
Systemic reaction (other): Foggy brain
Systemic reaction (other): I have hypothyroidism
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Tremor | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release