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
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2021-04-10
Dose 1 — Moderna
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2021-05-10
Registered in v-safe
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2021-05-10
Dose 2 — Moderna
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2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-05-17
Survey response — day 7, dose 2MedDRA: Gout — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Gout flare in elbow. Happened after 1st dose as wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — day 14, dose 2MedDRA: Condition aggravated, Fatigue, Migraine, Nausea, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-31
Survey response — day 21, dose 2MedDRA: Gout, Immunisation reaction, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree 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
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2021-06-07
Survey response — day 28, dose 2MedDRA: Gout, Physiotherapy, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Just a continuation of the acute gout tower in my left elbow · Healthcare visit (other): Physical therapy modalitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-16
- 2021-08-11
- 2021-09-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-10 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Gout flare in elbow. Happened after 1st dose as well
Release 8 — day 14, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gout | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Gout | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release