SHK-68522-43710
3 vaccinations
3 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 054 / VT
- Registered
- 2021-08-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-03
Dose 1 — Moderna
-
2021-08-04
Registered in v-safe
-
2021-08-04
Survey response — days 1–6 daily, dose 1MedDRA: Daydreaming, Disturbance in attention — Feeling: Good · Site: Pain, SwellingFree text: Very scatter brained!!! Dont feel very tired however not able to focusMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-08-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · DiarrheaAdult check-in
- 2021-08-07
- 2021-08-09
- 2021-08-10
- 2021-08-17
- 2021-08-24
-
2021-08-31
Dose 2 — Moderna
- 2021-08-31
-
2021-09-07
Health check-in — day 7, dose 2Feeling: Good · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend schoolAdult check-in
- 2021-09-14
-
2021-09-21
Survey response — day 21, dose 2MedDRA: Hemiplegic migraine — 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 · Emergency room or emergency department visit, HospitalizationFree text: Hemiplegique migraineMedDRA releases: 2024-11 · check-in free text available
-
2021-09-21
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-23
- 2021-09-28
- 2021-10-12
-
2022-01-31
Dose 3 — Moderna
- 2022-01-31
-
2022-08-01
Survey response — 6 months, dose 3MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever cough congestionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-03 | Moderna | No |
| 2 | 2021-08-31 | Moderna | No |
| 3 | 2022-01-31 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Very scatter brained!!! Dont feel very tired however not able to focus
Release 9 — day 21, dose 2
Symptoms: Hemiplegique migraine
Release 12 — 6 months, dose 3
Symptoms: Fever cough congestion
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 | Cough | · | · | ✓ |
| SD | Hemiplegic migraine | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Daydreaming | ✓ | · | ✓ |
| SRO | Disturbance in attention | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release