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
-
2021-02-26
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 2 — Moderna
-
2021-04-02
Survey response — day 0, dose 2MedDRA: Fatigue — Feeling: Fair · Site: PainFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Light-headed, woozy feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-09
-
2021-04-16
Survey response — day 14, dose 2MedDRA: Gastrointestinal pain — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2021-04-23
- 2021-04-30
- 2021-05-09
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-11-07
Dose 3 — Moderna
- 2021-11-25
- 2021-12-05
- 2021-12-12
- 2021-12-19
- 2022-02-06
-
2022-05-08
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Tinnitus — Feeling: GoodFree text: I have developed tinnitus following a cold (never tested positive for COVID).MedDRA releases: 2024-11 · check-in free text available
-
2022-09-08
Dose 4 — Moderna
- 2022-10-02
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-12-10
-
2023-03-09
Survey response — 6 months, dose 4MedDRA: Nephrolithiasis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-09
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
| 4 | 2022-09-08 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Fatigue
Release 6 — days 1–6 daily, dose 2
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.
Systemic reaction (other): Light-headed, woozy feeling.
Release 7 — day 14, dose 2
Symptoms: I had awful intestinal cramping on 4/10 but could not identify a cause.
Release 11 — 6 months, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release