6US-31002-24715
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 316 / GA
- Registered
- 2021-09-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-19
Dose 1 — Moderna
-
2021-09-26
Registered in v-safe
-
2021-09-26
Survey response — day 35, dose 1MedDRA: COVID-19, Fatigue, Headache, Nausea, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had COVID November 2020. First week following vaccine. Nausea. Fever. Headache. Fatigue. Better after ten days. Now have had headache for past ten days.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-26
Report sent to call center — day 35, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-29
-
2021-09-30
Survey response — day 42, dose 1MedDRA: Aura, Migraine, Office visit, Quarantine, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have had a migraine since September 17. It is just now resolving. My daughter tested positive for Covid on September 26. She was symptomatic on the 25th. I have been in quarantine. · Healthcare visit (other): Eye exam since had ocular aura. Migraine clinic. Urgent care clinic to be tested for Covid.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-30
Report sent to call center — day 42, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — day 35, dose 1
Symptoms: Had COVID November 2020. First week following vaccine. Nausea. Fever. Headache. Fatigue. Better after ten days. Now have had headache for past ten days.
Release 9 — day 42, dose 1
Symptoms: I have had a migraine since September 17. It is just now resolving. My daughter tested positive for Covid on September 26. She was symptomatic on the 25th. I have been in quarantine.
Healthcare visit (other): Eye exam since had ocular aura. Migraine clinic. Urgent care clinic to be tested for Covid.
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 | Aura | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release