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3TS-12604-81006

2 vaccinations 4 coded responses 9 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
920 / CA
Registered
2021-05-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-10
    Dose 1 — Moderna
  2. 2021-05-10
    Registered in v-safe
  3. 2021-05-10
    Dose 2 — Moderna
  4. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  6. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  7. 2021-05-17
    Survey response — day 7, dose 2
    MedDRA: Gout — Feeling: Good · Joint pains, Fatigue or tiredness
    Free text: Gout flare in elbow. Happened after 1st dose as well
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-24
    Survey response — day 14, dose 2
    MedDRA: Condition aggravated, Fatigue, Migraine, Nausea, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Some fatigue, a migraine one day, some nausea, gout flare up in elbow · Healthcare visit (other): PT modalities (ultrasound, laser) on elbow, an holistic energy work session trying to balance my body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-24
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-05-31
    Survey response — day 21, dose 2
    MedDRA: Gout, Immunisation reaction, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Worsening gout set in my left elbow I've been dealing with that came on 48 hrs after my first vac.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-07
    Survey response — day 28, dose 2
    MedDRA: Gout, Physiotherapy, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Just a continuation of the acute gout tower in my left elbow · Healthcare visit (other): Physical therapy modalities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-07
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-06

Vaccinations

DoseDateManufacturerCo-administered
12021-04-10Moderna
22021-05-10Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 7, dose 2

2021-05-17

Systemic reaction (other): Gout flare in elbow. Happened after 1st dose as well

Release 8 — day 14, dose 2

2021-05-24

Symptoms: Some fatigue, a migraine one day, some nausea, gout flare up in elbow
Healthcare visit (other): PT modalities (ultrasound, laser) on elbow, an holistic energy work session trying to balance my body

Release 8 — day 21, dose 2

2021-05-31

Symptoms: Worsening gout set in my left elbow I've been dealing with that came on 48 hrs after my first vac.

Release 8 — day 28, dose 2

2021-06-07

Symptoms: Just a continuation of the acute gout tower in my left elbow
Healthcare visit (other): Physical therapy modalities

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
HCVOOffice visit ✓ ✓ ✓
HCVOPhysiotherapy ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGout ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROGout ✓ ✓ ✓

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