S4H-61556-19460
1 vaccination
3 coded responses
8 check-ins
3 free-text entries
3 call cases
- Sex
- —
- Age at first dose
- 41-45
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-03
Registered in v-safe
-
2021-01-03
Dose 1 — Moderna
- 2021-01-03
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Seizure, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Severe convulsions last night, to the point that food i ate stuck in my throat for a half hour because i was shaking and shivering so bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-04
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-05
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-09
- 2021-01-10
-
2021-01-17
Survey response — day 14, dose 1MedDRA: Anosmia — Feeling: GoodFree text: Complete loss of smell for 2 days, its partially returned today. I suspect i had covid without symptoms when i received the vaccine. Feel great today though. Was not tested.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-04
-
2022-01-03
Survey response — 12 months, dose 1MedDRA: 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: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-01-03
Report sent to call center — 12 months, dose 1Be 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)
- 2022-01-04
- 2022-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-03 | Moderna |
Call center
3 call center cases
1 unsuccessful · 2 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Severe convulsions last night, to the point that food i ate stuck in my throat for a half hour because i was shaking and shivering so bad.
Release 2 — day 14, dose 1
Symptoms: Complete loss of smell for 2 days, its partially returned today. I suspect i had covid without symptoms when i received the vaccine. Feel great today though. Was not tested.
Release 10 — 12 months, dose 1
Symptoms: Covid
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 | Anosmia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Seizure | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release