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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

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-05
    Survey response — day 21, dose 1
    MedDRA: 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 professional
    Free 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
  9. 2021-02-05
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-02-14
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-21
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-07-03
  13. 2022-01-18
    Survey response — 12 months, dose 1
    MedDRA: 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 activities
    Free 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 vertigo
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-02-05

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

2022-01-18

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

FieldPreferred term2021-092023-042024-11
HCVOSARS-CoV-2 antibody test negative ✓ ✓ ✓
HCVOSelf-medication ✓ ✓ ✓
SDAbdominal pain lower ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDiarrhoea ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDHeadache ✓ ✓ ✓
SDHypoaesthesia · · ✓
SDMalaise ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDParaesthesia oral · · ✓
SDPre-existing disease · · ✓
SDTongue discomfort · · ✓
SDVertigo · · ✓

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