4WW-23498-87843
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 797 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
-
2021-01-07
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Mild soreness on upper arm of treatmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Right upper arm is soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Chills, Diarrhoea, Fatigue, Nausea, Pain in extremity, Taste disorder — Feeling: GoodFree text: Not today but on day of 2nd dose arm was severely sore and next day was nauseous mild, diarrhea, cold chills, taste was affected mildly , tired and body weakness , all this only lasted for the day after only and after this day everything went back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: Malaise, SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Covid positive test result 01/25/2022 and 01/27/2022 , symptoms start on 01/25/2022 · Healthcare visit (other): Scheduled surgery for vaginoplasty and breast augmentationMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-03-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Mild soreness on upper arm of treatment
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Right upper arm is sore
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Not today but on day of 2nd dose arm was severely sore and next day was nauseous mild, diarrhea, cold chills, taste was affected mildly , tired and body weakness , all this only lasted for the day after only and after this day everything went back to normal.
Release 11 — 12 months, dose 2
Symptoms: Covid positive test result 01/25/2022 and 01/27/2022 , symptoms start on 01/25/2022
Healthcare visit (other): Scheduled surgery for vaginoplasty and breast augmentation
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 | Unevaluable event | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release