RKQ-21129-39719
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 971 / OR
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Photopsia — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessFree text: A few times yesterday when my eyes were closed I would see lights.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessFree text: A tiny bit sore throat (upper nasal location)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
-
2021-03-27
Survey response — day 21, dose 2MedDRA: Fatigue, Malaise, Pain, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I was sick for 2.5 days with symptoms of bodyaches, fever and fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-10
- 2021-04-17
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2021-06-05
Survey response — 3 months, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: Wake with numb/pins and needles in both arms when sleeping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-04
-
2022-03-08
Survey response — 12 months, dose 2MedDRA: Basal cell carcinoma, Skin neoplasm excision — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Basal cell carcinoma. · Healthcare visit (other): Excision of the Basal Cell CarcinomaMedDRA releases: 2024-11 · check-in free text available
-
2022-03-08
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)
-
2022-03-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): A few times yesterday when my eyes were closed I would see lights.
Systemic reaction (other): A tiny bit sore throat (upper nasal location)
Release 6 — day 21, dose 2
Symptoms: I was sick for 2.5 days with symptoms of bodyaches, fever and fatigue.
Release 8 — 3 months, dose 2
Symptoms: Wake with numb/pins and needles in both arms when sleeping.
Release 11 — 12 months, dose 2
Symptoms: Basal cell carcinoma.
Healthcare visit (other): Excision of the Basal Cell Carcinoma
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 |
|---|---|---|---|---|
| HCVO | Skin neoplasm excision | · | · | ✓ |
| SD | Basal cell carcinoma | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Photopsia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release