S5A-13095-14361
3 vaccinations
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 752 / TX
- Registered
- 2021-12-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2021-02-20
Dose 2 — Moderna
-
2021-12-08
Dose 3 — Moderna
-
2021-12-09
Registered in v-safe
-
2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Good · Site: RednessFree text: Brain fogMedDRA releases: 2024-11 · check-in free text available
- 2021-12-12
-
2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea — Feeling: FairFree text: SnifflesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2021-12-15
- 2021-12-22
-
2021-12-29
Survey response — day 21, dose 3MedDRA: Faeces discoloured, Headache, Nausea, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Nausea , vomiting , greenish poop dec 25th with a terrible headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
- 2022-01-14
-
2022-01-19
Survey response — day 42, dose 3MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A little dyspneaMedDRA releases: 2024-11 · check-in free text available
- 2022-03-09
-
2022-12-09
Survey response — 12 months, dose 3MedDRA: Eye haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Eye bleedMedDRA releases: 2024-11 · check-in free text available
-
2022-12-09
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | No |
| 2 | 2021-02-20 | Moderna | No |
| 3 | 2021-12-08 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Brain fog
Systemic reaction (other): Sniffles
Release 10 — day 21, dose 3
Symptoms: Nausea , vomiting , greenish poop dec 25th with a terrible headache
Release 10 — day 42, dose 3
Symptoms: A little dyspnea
Release 12 — 12 months, dose 3
Symptoms: Eye bleed
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 | Dyspnoea | · | · | ✓ |
| SD | Eye haemorrhage | · | · | ✓ |
| SD | Faeces discoloured | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release