RJ9-13235-76964
4 vaccinations
6 coded responses
11 check-ins
7 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 756 / TX
- Registered
- 2021-09-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-09
Dose 1 — Moderna
-
2021-08-28
Dose 2 — Moderna
-
2021-09-29
Registered in v-safe
- 2021-09-29
- 2021-10-04
- 2021-10-11
-
2021-11-29
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Streptococcal infection — Feeling: Fair · 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 visit, Emergency room or emergency department visitFree text: Strep, cold lasting three weeks- negative Covid testMedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Report sent to call center — 3 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 · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-30
-
2022-02-28
Survey response — 6 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 · Outpatient clinic or urgent care clinic visitFree text: Covid 19MedDRA releases: 2024-11 · check-in free text available
-
2022-02-28
Report sent to call center — 6 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-07-07
Dose 3 — Moderna
-
2022-08-28
Survey response — 12 months, dose 2MedDRA: Hypoaesthesia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Numbness in both of my legsMedDRA releases: 2024-11 · check-in free text available
-
2022-08-28
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-22
Dose 4 — Moderna
- 2022-09-29
-
2022-10-06
Survey response — day 14, dose 4MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Numbness and tingling worseningMedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-07
-
2022-10-20
Survey response — day 28, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: ColdMedDRA releases: 2024-11 · check-in free text available
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2022-11-03
Survey response — day 42, dose 4MedDRA: Anxiety — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Anxiety increasedMedDRA releases: 2024-11 · check-in free text available
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2022-12-24
Health check-in — 3 months, dose 4Feeling: Fair · 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: RSV, Flu, RotavirusAdult check-in · check-in free text available
- 2022-12-24
- 2022-12-28
- 2022-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-09 | Moderna | No |
| 2 | 2021-08-28 | Moderna | No |
| 3 | 2022-07-07 | Moderna | No |
| 4 | 2022-09-22 | Moderna | No |
Call center
5 call center cases
3 successful · 2 unsuccessful
Free text
Release 10 — 3 months, dose 2
Symptoms: Strep, cold lasting three weeks- negative Covid test
Release 11 — 6 months, dose 2
Symptoms: Covid 19
Release 12 — 12 months, dose 2
Symptoms: Numbness in both of my legs
Release 12 — day 14, dose 4
Symptoms: Numbness and tingling worsening
Release 12 — day 28, dose 4
Symptoms: Cold
Release 12 — day 42, dose 4
Symptoms: Anxiety increased
Release 12 — 3 months, dose 4
Symptoms: RSV, Flu, Rotavirus
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 | Anxiety | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release