5VJ-26307-02486
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 983 / WA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-19
- 2021-01-21
- 2021-01-24
- 2021-01-29
-
2021-02-05
Survey response — day 21, dose 1MedDRA: Abdominal pain lower, Chills, Diarrhoea, Headache, Malaise, Myalgia, SARS-CoV-2 antibody test negative, Self-medication — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Chills, HA, malaise, muscle aches, cramping lower abdominal pain, loose stools · Healthcare visit (other): I am a doctor. I stayed home from work until symptoms resolved and rapid ag test for Covid returned negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-14
- 2021-02-21
- 2021-07-03
-
2022-01-18
Survey response — 12 months, dose 1MedDRA: COVID-19, Gastrointestinal disorder, Hypoaesthesia, Paraesthesia oral, Pre-existing disease, Tongue discomfort, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Not new, recurrence of vertigo. I believe after 1st vaccine I contracted Covid & had 48hrs GI Sxs. Day3 Binax Now test neg. however I experienced tongue burning & other oral paraesthesias x 6mo. W/ booster, upper teeth numbness & debilitating vertigoMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 21, dose 1
Symptoms: Chills, HA, malaise, muscle aches, cramping lower abdominal pain, loose stools
Healthcare visit (other): I am a doctor. I stayed home from work until symptoms resolved and rapid ag test for Covid returned negative.
Release 10 — 12 months, dose 1
Symptoms: Not new, recurrence of vertigo. I believe after 1st vaccine I contracted Covid & had 48hrs GI Sxs. Day3 Binax Now test neg. however I experienced tongue burning & other oral paraesthesias x 6mo. W/ booster, upper teeth numbness & debilitating vertigo cut off by CDC
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 | SARS-CoV-2 antibody test negative | ✓ | ✓ | ✓ |
| HCVO | Self-medication | ✓ | ✓ | ✓ |
| SD | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Paraesthesia oral | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Tongue discomfort | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release