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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

  1. 2020-12-28
    Dose 1 — Moderna
  2. 2021-02-20
    Dose 2 — Moderna
  3. 2021-12-08
    Dose 3 — Moderna
  4. 2021-12-09
    Registered in v-safe
  5. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-12-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Brain fog — Feeling: Good · Site: Redness
    Free text: Brain fog
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: Sniffles
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-12-15
    Health check-in — day 7, dose 3
    Feeling: Fair · Site: Itching · Nausea
    Adult check-in
  11. 2021-12-22
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  12. 2021-12-29
    Survey response — day 21, dose 3
    MedDRA: Faeces discoloured, Headache, Nausea, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Nausea , vomiting , greenish poop dec 25th with a terrible headache
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-01-19
    Survey response — day 42, dose 3
    MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: A little dyspnea
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-03-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-12-09
    Survey response — 12 months, dose 3
    MedDRA: Eye haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Eye bleed
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-12-09
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  19. 2022-12-12

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna No
22021-02-20Moderna No
32021-12-08Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Brain fog

2021-12-13

Systemic reaction (other): Sniffles

Release 10 — day 21, dose 3

2021-12-29

Symptoms: Nausea , vomiting , greenish poop dec 25th with a terrible headache

Release 10 — day 42, dose 3

2022-01-19

Symptoms: A little dyspnea

Release 12 — 12 months, dose 3

2022-12-09

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

FieldPreferred term2021-092023-042024-11
SDDyspnoea · · ✓
SDEye haemorrhage · · ✓
SDFaeces discoloured · · ✓
SDHeadache · · ✓
SDNausea · · ✓
SDVomiting · · ✓
SROBrain fog · · ✓
SRORhinorrhoea · · ✓

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