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4Z3-31108-91769

2 vaccinations 3 coded responses 9 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
068 / CT
Registered
2021-05-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-21
    Dose 1 — Moderna
  2. 2021-05-05
    Registered in v-safe
  3. 2021-05-05
    Survey response — day 14, dose 1
    MedDRA: Brain fog, Deafness, Headache, Hypoaesthesia, Petechiae — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: I got petechiae all over my body, had CBC test done (its OK). Every other day I get pulsating headaches (back of the head and temples). During these episodes hearing in the right ear gets worse, theres slight numbness in the face, brain fog.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-05
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-05-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-05-28
    Survey response — day 35, dose 1
    MedDRA: Heavy menstrual bleeding, Specialist consultation, Tension headache — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Tension headaches persist. Period was heavier, but the next one was normal. · Healthcare visit (other): GP
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-28
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-06-03
    Dose 2 — Moderna
  9. 2021-06-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work
    Adult check-in
  11. 2021-06-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  12. 2021-06-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-07-03
    Survey response — day 28, dose 2
    MedDRA: Depression, Insomnia, Petechiae — Feeling: Fair
    Free text: Petechiae keep appearing on my body. Last blood test was normal (in May). Insomnia and depression (due to unrelated cause).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-09-02
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  15. 2022-04-08

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Moderna
22021-06-03Moderna

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 14, dose 1

2021-05-05

Symptoms: I got petechiae all over my body, had CBC test done (its OK). Every other day I get pulsating headaches (back of the head and temples). During these episodes hearing in the right ear gets worse, theres slight numbness in the face, brain fog.

Release 8 — day 35, dose 1

2021-05-28

Symptoms: Tension headaches persist. Period was heavier, but the next one was normal.
Healthcare visit (other): GP

Release 9 — day 28, dose 2

2021-07-03

Symptoms: Petechiae keep appearing on my body. Last blood test was normal (in May). Insomnia and depression (due to unrelated cause).

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
HCVOSpecialist consultation ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDDeafness ✓ ✓ ✓
SDDepression ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeavy menstrual bleeding ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDPetechiae ✓ ✓ ✓
SDTension headache ✓ ✓ ✓

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