LLU-11934-04091
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 930 / CA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-26
- 2021-04-02
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-23
- 2021-04-28
- 2021-05-05
-
2021-05-12
Survey response — day 35, dose 2MedDRA: Headache, Hypoaesthesia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Really bad headache , sore/ numb arm... took the TDap vaccine on Friday 5/9/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-07
- 2021-10-06
-
2021-12-04
Dose 3 — Moderna
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-13
-
2021-12-25
Survey response — day 21, dose 3MedDRA: Nausea — Feeling: GoodFree text: NauseousMedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Survey response — day 28, dose 3MedDRA: Headache, Nausea, Oropharyngeal pain, 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 · Telehealth, virtual health, or email health consultationFree text: Sore throat, runny nose, headache, nauseaMedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-05
- 2022-01-07
- 2022-01-10
- 2022-01-15
-
2022-03-05
Survey response — 3 months, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Pain in my injection site when i lay down on that arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-12-04 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 35, dose 2
Symptoms: Really bad headache , sore/ numb arm... took the TDap vaccine on Friday 5/9/21.
Release 10 — day 21, dose 3
Symptoms: Nauseous
Release 10 — day 28, dose 3
Symptoms: Sore throat, runny nose, headache, nausea
Release 11 — 3 months, dose 3
Symptoms: Pain in my injection site when i lay down on that arm.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release