3VU-34112-17759
3 vaccinations
4 coded responses
39 check-ins
4 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 761 / TX
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Asthenopia, Blepharospasm — Feeling: GoodFree text: Eye lids have been twitching but think its due to tired eyes and seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
-
2021-07-28
Survey response — 6 months, dose 2MedDRA: Sinus headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus headache / got steroid shotMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-28
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
- 2021-08-16
-
2021-08-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-17
Dose 3 — Moderna
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
-
2022-01-23
Survey response — day 35, dose 3MedDRA: Cough, Fatigue, Nasopharyngitis, Pre-existing disease, Sneezing, Throat irritation — Feeling: FairFree text: I think they're seasonal allergy, or slight cold.. Tickle throat , slight dry cough, sneezy, tired. No fever and still can smell and taste ..MedDRA releases: 2024-11 · check-in free text available
- 2022-01-29
- 2022-03-18
- 2022-06-17
-
2022-12-17
Survey response — 12 months, dose 3MedDRA: Hypoaesthesia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My toes on each foot are slightly numb.. am going to have a nerve tyto see if there is any nerve damage issues · Healthcare visit (other): My GP FEFERRED ME TO PODIATRIST WHO IS REFERRING ME TO NEUROLOGISTMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Eye lids have been twitching but think its due to tired eyes and seasonal allergies
Release 9 — 6 months, dose 2
Symptoms: Sinus headache / got steroid shot
Release 11 — day 35, dose 3
Symptoms: I think they're seasonal allergy, or slight cold.. Tickle throat , slight dry cough, sneezy, tired. No fever and still can smell and taste ..
Release 12 — 12 months, dose 3
Symptoms: My toes on each foot are slightly numb.. am going to have a nerve tyto see if there is any nerve damage issues
Healthcare visit (other): My GP FEFERRED ME TO PODIATRIST WHO IS REFERRING ME TO NEUROLOGIST
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 | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinus headache | ✓ | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release