3NN-11332-78238
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 773 / TX
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-08
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-27
- 2021-05-04
-
2021-05-06
Dose 2 — Moderna
- 2021-05-18
- 2021-05-22
- 2021-05-27
- 2021-06-05
-
2021-06-12
Survey response — day 35, dose 2MedDRA: Bell's palsy, Inflammation, Lymphadenopathy — Feeling: Poor · 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, Emergency room or emergency department visitFree text: Developed Bell's Palsy, undergoing treatment. This is the first time I've been able to fill anything out here. After the 2nd vaccine I had a swollen lymph node and increase inflammation,now Bell Palsy. The timing of reporting hasn't allowed for reporMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-12
Report sent to call center — day 35, 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)
-
2021-06-17
Survey response — day 42, dose 2MedDRA: Bell's palsy — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Bell's Palsy symptoms have expanded since last check in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
-
2021-06-22
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-08-05
Survey response — 3 months, dose 2MedDRA: Cough, Upper-airway cough syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough x 3 weeks, like a post nasal dripMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-16
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-11-04
Survey response — 6 months, dose 2MedDRA: COVID-19, Emergency care, Migraine — 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 visit, Emergency room or emergency department visitFree text: Had Covid over the last month. Was in ER over the weekend with worst migraine ever.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2021-11-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-12 | Successful 2021-06-22 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-08-05 | Successful 2021-08-16 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-11-04 | Successful 2021-11-08 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — day 35, dose 2
Symptoms: Developed Bell's Palsy, undergoing treatment. This is the first time I've been able to fill anything out here. After the 2nd vaccine I had a swollen lymph node and increase inflammation,now Bell Palsy. The timing of reporting hasn't allowed for repor cut off by CDC
Release 9 — day 42, dose 2
Symptoms: Bell's Palsy symptoms have expanded since last check in.
Release 9 — 3 months, dose 2
Symptoms: Cough x 3 weeks, like a post nasal drip
Release 10 — 6 months, dose 2
Symptoms: Had Covid over the last month. Was in ER over the weekend with worst migraine ever.
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 | Bell's palsy | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release