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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

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-04-09
    Dose 2 — Moderna
  3. 2021-04-10
    Registered in v-safe
  4. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 professional
    Free 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 wrong
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-10
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Foggy brain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: I have hypothyroidism
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-07-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  10. 2022-03-25
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  11. 2022-04-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-09Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

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

2021-04-11

Systemic reaction (other): Foggy brain

2021-04-12

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
HCVOTremor ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODisorientation ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release