HRG-19344-55812
3 vaccinations
3 coded responses
27 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 907 / CA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-03-26
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheFree text: Eyeball hurts when touchedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · HeadacheAdult check-in
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-23
- 2021-05-28
- 2021-07-18
- 2021-10-17
-
2021-11-23
Dose 3 — Moderna
- 2022-04-18
-
2022-05-24
Survey response — 6 months, dose 3MedDRA: Ageusia, Anosmia, Cough, Dyspnoea, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I woke up 5/18 with a 102 fever, congestion, and body aches. Over the last five days, I have had sore throat, chest cough, difficulty breathing, and lost of taste and smell.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-28
Survey response — 12 months, dose 3MedDRA: Dyspepsia, Gastrointestinal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Stomach problems/indigestionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-28
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-29
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Eyeball hurts when touched
Release 11 — 6 months, dose 3
Symptoms: I woke up 5/18 with a 102 fever, congestion, and body aches. Over the last five days, I have had sore throat, chest cough, difficulty breathing, and lost of taste and smell.
Release 12 — 12 months, dose 3
Symptoms: Stomach problems/indigestion
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release