EHQ-64493-02000
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 984 / WA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Registered in v-safe
-
2021-04-12
Dose 1 — Moderna
-
2021-04-12
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, DiarrheaAdult check-in
-
2021-04-27
Survey response — day 14, dose 1MedDRA: Asthenia, Dizziness, Dyspepsia, Fatigue, Headache, Muscle spasms, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: On Friday April 23 I came down with all over body muscle spasms, headache, nausea. And my stomach was burning. I was dizzy and lacked all energy. I felt so much pain fri and sat night. Then Sunday morning it was all gone. Just left feeling exhausted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
-
2021-05-21
Dose 2 — Moderna
-
2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-25
- 2021-05-26
- 2021-05-31
-
2022-05-22
Survey response — 12 months, dose 2MedDRA: COVID-19, Chest pain, Ectopic pregnancy, Respiratory tract congestion, Sinus pain — 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 · Emergency room or emergency department visitFree text: Ectopic pregnancy and covid. Congestion, sinus pain, chest hurtsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-22 | Unsuccessful |
Free text
Release 8 — day 14, dose 1
Symptoms: On Friday April 23 I came down with all over body muscle spasms, headache, nausea. And my stomach was burning. I was dizzy and lacked all energy. I felt so much pain fri and sat night. Then Sunday morning it was all gone. Just left feeling exhausted. cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Ectopic pregnancy and covid. Congestion, sinus pain, chest hurts
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release