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
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
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2021-03-24
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: Good · HeadacheFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia, Sleep disorder — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree 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
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Insomnia for two nightsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-02
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2021-04-21
Dose 2 — Moderna
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
- 2021-04-26
- 2021-07-21
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2021-10-20
Survey response — 6 months, dose 2MedDRA: Tic, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-10-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-22
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2022-04-23
Survey response — 12 months, dose 2MedDRA: Tourette's disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Diagnosed with late onset Tourette's syndromeMedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-26
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Metallic taste in mouth
Release 6 — days 1–6 daily, dose 1
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.
Systemic reaction (other): Insomnia for two nights
Systemic reaction (other): Runny nose
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The welt on my arm at the injection site has gotten substantially larger than yesterday.
Release 10 — 6 months, dose 2
Symptoms: Frequent and increasingly worsening vocal and motor tics
Healthcare visit (other): Referred to neurology, awaiting appointment.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Tic | · | · | ✓ |
| SD | Tourette's disorder | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release