828-24005-08701
2 vaccinations
5 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 980 / WA
- Registered
- 2021-07-31
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-31
Registered in v-safe
-
2021-07-31
Dose 1 — Moderna
-
2021-07-31
Health check-in — day 0, dose 1Feeling: Poor · Site: Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-08-01
Survey response — days 1–6 daily, dose 1MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pulsatile TinnitusMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-08-03
-
2021-08-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-08-05
- 2021-08-06
-
2021-08-07
Health check-in — day 7, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-14
Survey response — day 14, dose 1MedDRA: Dyspnoea — Feeling: FairFree text: Shortness of breathMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-22
Survey response — day 21, dose 1MedDRA: Nausea — Feeling: FairFree text: Severe NauseaMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-12
Survey response — day 42, dose 1MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still extreme nauseaMedDRA releases: 2024-11 · check-in free text available
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2022-02-28
Dose 2 — Moderna
-
2023-03-01
Survey response — 12 months, dose 2MedDRA: Congenital cystic kidney disease, Grip strength decreased, Pain in extremity, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-03-01
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-31 | Moderna | No |
| 2 | 2022-02-28 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Pulsatile Tinnitus
Release 9 — day 14, dose 1
Symptoms: Shortness of breath
Release 9 — day 21, dose 1
Symptoms: Severe Nausea
Release 9 — day 42, dose 1
Symptoms: Still extreme nausea
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 | Congenital cystic kidney disease | · | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Grip strength decreased | · | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Tinnitus | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release