TW5-10826-89228
3 vaccinations
1 coded response
6 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 773 / TX
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-02-10
Dose 2 — Moderna
-
2021-02-25
Registered in v-safe
- 2021-02-25
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-10-07
Dose 3 — Moderna
-
2022-01-06
Survey response — 3 months, dose 3MedDRA: Chest discomfort, Cough, Eye irritation, Nasal congestion, Oropharyngeal pain, Pain — Feeling: Fair · 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: Body aches, sore throat, nasal congestion, chest pressure, irritated eyes, dry coughMedDRA releases: 2024-11 · check-in free text available
-
2022-01-06
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-10-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-07 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — 3 months, dose 3
Symptoms: Body aches, sore throat, nasal congestion, chest pressure, irritated eyes, dry cough
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 | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eye irritation | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release