LPU-20057-03594
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 956 / CA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
-
2021-03-16
Survey response — day 0, dose 1MedDRA: Ear pain, Neck pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Pain on upper ear and right side of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Hyperhidrosis — Feeling: Fair · ChillsFree text: Sweating and chills all night againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-30
Survey response — day 14, dose 1MedDRA: Chills, Hyperhidrosis — Feeling: GoodFree text: Sweats and chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
-
2021-04-13
Dose 2 — Moderna
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
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2022-04-13
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Had covid for 2 wks+MedDRA releases: 2024-11 · check-in free text available
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2022-04-13
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-20
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Pain on upper ear and right side of neck
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sweating and chills all night again
Release 6 — day 14, dose 1
Symptoms: Sweats and chills
Release 11 — 12 months, dose 2
Symptoms: Had covid for 2 wks+
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 | COVID-19 | · | · | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release