PDE-11023-95255
3 vaccinations
2 coded responses
39 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 982 / WA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
-
2021-01-17
Dose 1 — Moderna
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-24
-
2021-01-31
Survey response — day 14, dose 1MedDRA: Dizziness, Headache, Nausea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe Headache and moderate nausea and dizziness on 1/28 and 1/29. Unknown cause. Covid test on 1/28 was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-14
Dose 2 — Moderna
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-05-16
- 2021-08-15
-
2021-11-02
Dose 3 — Moderna
- 2021-11-02
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
- 2022-05-03
-
2022-11-02
Survey response — 12 months, dose 3MedDRA: Arthralgia, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Muscle and joint pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-02
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — day 14, dose 1
Symptoms: Severe Headache and moderate nausea and dizziness on 1/28 and 1/29. Unknown cause. Covid test on 1/28 was negative.
Release 12 — 12 months, dose 3
Symptoms: Muscle and joint pain.
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 | Arthralgia | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release