682-80934-72384
1 vaccination
6 coded responses
14 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 923 / CA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-15
Registered in v-safe
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2021-01-15
Dose 1 — Moderna
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2021-01-15
Survey response — day 0, dose 1MedDRA: Chills, Immediate post-injection reaction, Medical observation — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Abdominal painFree text: The chills were about 15 minutes or so after injection I was held at site for nearly an hour and they wanted to keep me longer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Swelling — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesFree text: The chills come and go and are pretty intense. I noticed the mild swelling today, it may have already been there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Feeling so much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
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2021-02-05
Survey response — day 21, dose 1MedDRA: Headache — Feeling: FairFree text: I thought the headaches were just a passing thing and unrelated. But Im wondering if the headaches are related. They are very bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
- 2021-02-26
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2021-04-16
Survey response — 3 months, dose 1MedDRA: Headache — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: The headaches have continued and sometimes are very bad, not as often but I feel the first vaccine triggered a set of headaches that I just have not been able to get better from.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-16
Survey response — 6 months, dose 1MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I feel that since having Covid-19 and then getting the vaccine it started a chain reaction in my body and therefore it has triggered things in my body. I think its a combination of things causing my symptoms and not just the vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-16
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): The chills were about 15 minutes or so after injection I was held at site for nearly an hour and they wanted to keep me longer.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): The chills come and go and are pretty intense. I noticed the mild swelling today, it may have already been there.
Systemic reaction (other): Feeling so much better today.
Release 3 — day 21, dose 1
Symptoms: I thought the headaches were just a passing thing and unrelated. But Im wondering if the headaches are related. They are very bad.
Release 7 — 3 months, dose 1
Symptoms: The headaches have continued and sometimes are very bad, not as often but I feel the first vaccine triggered a set of headaches that I just have not been able to get better from.
Release 9 — 6 months, dose 1
Symptoms: I feel that since having Covid-19 and then getting the vaccine it started a chain reaction in my body and therefore it has triggered things in my body. I think its a combination of things causing my symptoms and not just the vaccine.
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 |
|---|---|---|---|---|
| SD | Adverse reaction | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release