9KC-30025-03195
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 760 / TX
- Registered
- 2021-08-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-13
Registered in v-safe
-
2021-08-13
Dose 1 — Moderna
- 2021-08-13
-
2021-08-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-15
Survey response — days 1–6 daily, dose 1MedDRA: Haemorrhage — Feeling: Poor · Site: Pain · Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: BleedingMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-15
Report sent to call center — days 1–6 daily, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-08-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache · Be unable to work or attend schoolAdult check-in
- 2021-08-17
- 2021-08-19
- 2021-08-20
- 2021-08-29
- 2021-09-03
- 2021-09-12
-
2021-09-14
Dose 2 — Moderna
- 2021-09-14
-
2021-09-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-09-16
-
2021-09-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-18
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm, Paraesthesia — Feeling: Fair · Muscle or body achesFree text: Eye twitching, face tinglyMedDRA releases: 2024-11 · check-in free text available
-
2021-09-19
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm — Feeling: GoodFree text: Eye twitchingMedDRA releases: 2024-11 · check-in free text available
-
2021-09-20
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: Eye tinglingMedDRA releases: 2024-11 · check-in free text available
-
2021-09-21
Survey response — day 7, dose 2MedDRA: Blepharospasm — Feeling: GoodFree text: Eye twitchingMedDRA releases: 2024-11 · check-in free text available
- 2021-09-28
- 2021-10-05
- 2021-10-12
- 2021-10-21
- 2021-10-27
- 2021-12-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-13 | Moderna | No |
| 2 | 2021-09-14 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Bleeding
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Eye twitching, face tingly
Systemic reaction (other): Eye twitching
Systemic reaction (other): Eye tingling
Release 9 — day 7, dose 2
Systemic reaction (other): Eye twitching
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 |
|---|---|---|---|---|
| SRO | Blepharospasm | · | · | ✓ |
| SRO | Haemorrhage | ✓ | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release