CXD-13766-10416
4 vaccinations
5 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 730 / OK
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Occasionally mild dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Yesterday evening I had a mild headache, but I get headaches occasionally so not sure it was caused by the vaccine. I took some ibuprofen and no headache todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-15
- 2021-01-23
- 2021-01-27
-
2021-02-05
Dose 2 — Moderna
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: For 24-48 hrs after the second shot I had the above listed symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
- 2021-02-28
- 2021-03-07
- 2021-03-13
- 2021-05-07
- 2021-08-06
-
2021-11-12
Dose 3 — Moderna
- 2022-02-05
-
2022-09-23
Dose 4 — Moderna
-
2022-10-02
Survey response — day 7, dose 4MedDRA: Chills, Malaise — Feeling: Good · Site: PainFree text: I had chills all night (about 12 hours after shot) and didn't feel well most of the next day.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
- 2022-10-16
-
2023-03-24
Survey response — 6 months, dose 4MedDRA: Chills, Cough, Fatigue, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea — 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 visitMedDRA releases: 2024-11
-
2023-03-24
Report sent to call center — 6 months, dose 4Be 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)
- 2023-03-29
-
2023-03-29
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Occasionally mild dizziness
Systemic reaction (other): Yesterday evening I had a mild headache, but I get headaches occasionally so not sure it was caused by the vaccine. I took some ibuprofen and no headache today
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): For 24-48 hrs after the second shot I had the above listed symptoms
Release 12 — day 7, dose 4
Systemic reaction (other): I had chills all night (about 12 hours after shot) and didn't feel well most of the next day.
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release