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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

  1. 2021-08-19
    Dose 1 — Moderna
  2. 2021-09-26
    Registered in v-safe
  3. 2021-09-26
    Survey response — day 35, dose 1
    MedDRA: 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 visit
    Free 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
  4. 2021-09-26
    Report sent to call center — day 35, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  5. 2021-09-29
  6. 2021-09-30
    Survey response — day 42, dose 1
    MedDRA: 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 visit
    Free 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
  7. 2021-09-30
    Report sent to call center — day 42, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  8. 2021-10-05
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-08-19Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — day 35, dose 1

2021-09-26

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

2021-09-30

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

FieldPreferred term2021-092023-042024-11
HCVOAura · · ✓
HCVOOffice visit · · ✓
HCVOSARS-CoV-2 test · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDMigraine · · ✓
SDNausea · · ✓
SDPyrexia · · ✓
SDQuarantine · · ✓

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