6BD-13224-76674
1 vaccination
4 coded responses
6 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 917 / CA
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-12
Dose 1 — Moderna
-
2021-04-30
Registered in v-safe
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2021-04-30
Survey response — day 14, dose 1MedDRA: Body temperature increased, Chills, Pyrexia — Feeling: FairFree text: Chills running over my body since the first day of vaccination until now, the 18th day. Today I have low fever too, 99.1 degree.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — day 28, dose 1MedDRA: Chills — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Chills running around my body. This side effect happened since 4/12/2021 (my first dosage of Moderna) until now (4 weeks). It does not go away. What can I do?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-20
Survey response — day 35, dose 1MedDRA: Chills — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Since my first Moderna vaccine on 4/12, I got the chills feeling running around my body. The symptom remains until now. It does not go away. So I dare not to take the 2nd dose. Please advise me how to stop this side effect. Thanks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-25
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2021-07-12
Survey response — 3 months, dose 1MedDRA: Chills, Emergency care, Nightmare, Pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Severe nightmare two times, one on 7/7, one on 7/10; both made me fell to the floor. I was hurt on 7/10 3am that I was admitted to emergency for treating. Chills feeling running around the body after three months of vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-12
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-15
-
2021-07-16
Call successfulDoes not wish to fill out VAERS report
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 8 — day 14, dose 1
Symptoms: Chills running over my body since the first day of vaccination until now, the 18th day. Today I have low fever too, 99.1 degree.
Release 8 — day 28, dose 1
Symptoms: Chills running around my body. This side effect happened since 4/12/2021 (my first dosage of Moderna) until now (4 weeks). It does not go away. What can I do?
Release 8 — day 35, dose 1
Symptoms: Since my first Moderna vaccine on 4/12, I got the chills feeling running around my body. The symptom remains until now. It does not go away. So I dare not to take the 2nd dose. Please advise me how to stop this side effect. Thanks.
Release 9 — 3 months, dose 1
Symptoms: Severe nightmare two times, one on 7/7, one on 7/10; both made me fell to the floor. I was hurt on 7/10 3am that I was admitted to emergency for treating. Chills feeling running around the body after three months of vaccination.
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 | Body temperature increased | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Nightmare | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release