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S35-63838-83866

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
761 / TX
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Registered in v-safe
  2. 2021-03-24
    Dose 1 — Moderna
  3. 2021-03-24
    Survey response — day 0, dose 1
    MedDRA: Dysgeusia — Feeling: Good · Headache
    Free text: Metallic taste in mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia, Sleep disorder — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I woke up at 1;30 in the morning and was unable to sleep the rest of the night. I normally sleep without issue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Insomnia for two nights
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-21
    Dose 2 — Moderna
  12. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: The welt on my arm at the injection site has gotten substantially larger than yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-07-21
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-10-20
    Survey response — 6 months, dose 2
    MedDRA: Tic, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Frequent and increasingly worsening vocal and motor tics · Healthcare visit (other): Referred to neurology, awaiting appointment.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-20
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2021-10-22
  19. 2022-04-23
    Survey response — 12 months, dose 2
    MedDRA: Tourette's disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Diagnosed with late onset Tourette's syndrome
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-23
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  21. 2022-04-26
  22. 2022-04-28

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-21Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-24

Systemic reaction (other): Metallic taste in mouth

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): I woke up at 1;30 in the morning and was unable to sleep the rest of the night. I normally sleep without issue.

2021-03-26

Systemic reaction (other): Insomnia for two nights

2021-03-29

Systemic reaction (other): Runny nose

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): The welt on my arm at the injection site has gotten substantially larger than yesterday.

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Frequent and increasingly worsening vocal and motor tics
Healthcare visit (other): Referred to neurology, awaiting appointment.

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Diagnosed with late onset Tourette's syndrome

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDTic · · ✓
SDTourette's disorder · · ✓
SRODysgeusia ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release