KDC-10534-87154
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 774 / TX
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-11
Registered in v-safe
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-15
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain, Pyrexia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: I missed check in yesterday but I had fever up to 101.4 severe aches and chills all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-12
-
2021-03-21
Survey response — day 42, dose 2MedDRA: Diarrhoea, Fatigue, Gastroenteritis viral, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Stomach bugVomiting diarrhea fatigue x 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-09
-
2022-02-07
Survey response — 12 months, dose 2MedDRA: Thyroid disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Autoimmune thyroid diseaseMedDRA releases: 2024-11 · check-in free text available
-
2022-02-07
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I missed check in yesterday but I had fever up to 101.4 severe aches and chills all day
Systemic reaction (other): Shortness of breath
Release 6 — day 42, dose 2
Symptoms: Stomach bugVomiting diarrhea fatigue x 2 days
Release 11 — 12 months, dose 2
Symptoms: Autoimmune thyroid disease
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release