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3TE-33833-60360

4 vaccinations 6 coded responses 24 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
930 / CA
Registered
2021-04-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
VXV-26438-94369 Child or adolescent in my care · Male · 2021-08-22
R7L-33637-04147 Child or adolescent in my care · Female · 2021-11-05

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Dose 2 — Moderna
  4. 2021-04-02
    Survey response — day 0, dose 2
    MedDRA: Fatigue — Feeling: Fair · Site: Pain
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction, Brain fog, Decreased appetite, Feeling abnormal, Headache, Self-medication — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: I tools acetaminophen every 7-8 hours and have been drinking lots of electrolyte water, whic I think is keeping my side effects on the mild side. The headache gets worse around 7 hours after I last took acetaminophen. I also dont have much of an appetite and am feeling brain fog more today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Light-headed, woozy feeling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  8. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-04-16
    Survey response — day 14, dose 2
    MedDRA: Gastrointestinal pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had awful intestinal cramping on 4/10 but could not identify a cause.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-07
    Dose 3 — Moderna
  17. 2021-11-25
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-12-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-12-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-12-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-02-06
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-05-08
    Survey response — 6 months, dose 3
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Tinnitus — Feeling: Good
    Free text: I have developed tinnitus following a cold (never tested positive for COVID).
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-09-08
    Dose 4 — Moderna
  24. 2022-10-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-10-06
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  26. 2022-10-13
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  27. 2022-10-20
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  28. 2022-12-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  29. 2023-03-09
    Survey response — 6 months, dose 4
    MedDRA: Nephrolithiasis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  30. 2023-03-09
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2023-03-10

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-04-02Moderna
32021-11-07Moderna No
42022-09-08Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): Fatigue

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): I tools acetaminophen every 7-8 hours and have been drinking lots of electrolyte water, whic I think is keeping my side effects on the mild side. The headache gets worse around 7 hours after I last took acetaminophen. I also dont have much of an appetite and am feeling brain fog more today.

2021-04-04

Systemic reaction (other): Light-headed, woozy feeling.

Release 7 — day 14, dose 2

2021-04-16

Symptoms: I had awful intestinal cramping on 4/10 but could not identify a cause.

Release 11 — 6 months, dose 3

2022-05-08

Symptoms: I have developed tinnitus following a cold (never tested positive for COVID).

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
SDGastrointestinal pain ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDNephrolithiasis · · ✓
SDSARS-CoV-2 test negative · · ✓
SDTinnitus · · ✓
SROAdverse reaction · · ✓
SROBrain fog · · ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ○
SROHeadache ✓ ✓ ✓
SROSelf-medication · · ✓

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