TX8-32711-13682
3 vaccinations
10 coded responses
39 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 339 / FL
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-07
Registered in v-safe
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2021-04-07
Dose 1 — Moderna
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2021-04-07
Survey response — day 0, dose 1MedDRA: Renal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: My kidney area news sore an hour or so after injection. But I drank a lot of water and it seems to have subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Menstrual disorder — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These symptoms are not typical for my menstral cycle so I think they are vaccine related. Started my menstral cycle yesterday (about hour after vaccine- but this was within the India of a normal start time for me this month).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
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2021-04-28
Survey response — day 21, dose 1MedDRA: Chalazion, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A chalizon on my lower eyelid but had a stye on my other eye before my first dose. Doctor today said its my glands not functioning properly. I do not think it is related to vaccination at all. · Healthcare visit (other): Eye doctor visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-05
Dose 2 — Moderna
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2021-05-05
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I started my period early this morning (this was expected time wise), and had lower cramps typical for menstral cycle. All other symptoms listed above were from vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The pain at the injection site is only when I press on it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
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2021-08-04
Survey response — 3 months, dose 2MedDRA: Influenza like illness, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold/flu like symptoms . I was tested for Covid but it was negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-05
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2021-11-19
Dose 3 — Moderna
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2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Mobility decreased, Nausea, Pain, Pyrexia, Vomiting — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Today I am better but yesterday (12 hour after dose until 36 hours after) I could not get out of bed. I had a fever, aches, vomiting, nausea, and couldn't lift my arm that received the injection.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
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2022-02-18
Survey response — 3 months, dose 3MedDRA: Oropharyngeal pain, Pregnancy — Feeling: FairFree text: Sore throat. I am 7.5 months pregnant.MedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-05-20
Survey response — 6 months, dose 3MedDRA: Caesarean section, Suspected COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Planned C section to deliver baby Apr 26. Believe I had covid post delivery but did not test.MedDRA releases: 2024-11 · check-in free text available
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2022-11-19
Survey response — 12 months, dose 3MedDRA: Delivery, Nasopharyngitis — Feeling: FairFree text: Head Cold for many weeks. Delivered a healthy baby boy on (b)(6)/2022.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): My kidney area news sore an hour or so after injection. But I drank a lot of water and it seems to have subsided.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): These symptoms are not typical for my menstral cycle so I think they are vaccine related. Started my menstral cycle yesterday (about hour after vaccine- but this was within the India of a normal start time for me this month).
Release 8 — day 21, dose 1
Symptoms: A chalizon on my lower eyelid but had a stye on my other eye before my first dose. Doctor today said its my glands not functioning properly. I do not think it is related to vaccination at all.
Healthcare visit (other): Eye doctor visit
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I started my period early this morning (this was expected time wise), and had lower cramps typical for menstral cycle. All other symptoms listed above were from vaccine.
Systemic reaction (other): The pain at the injection site is only when I press on it.
Release 9 — 3 months, dose 2
Symptoms: Cold/flu like symptoms . I was tested for Covid but it was negative.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Today I am better but yesterday (12 hour after dose until 36 hours after) I could not get out of bed. I had a fever, aches, vomiting, nausea, and couldn't lift my arm that received the injection.
Release 11 — 3 months, dose 3
Symptoms: Sore throat. I am 7.5 months pregnant.
Release 11 — 6 months, dose 3
Symptoms: Planned C section to deliver baby Apr 26. Believe I had covid post delivery but did not test.
Release 12 — 12 months, dose 3
Symptoms: Head Cold for many weeks. Delivered a healthy baby boy on (b)(6)/2022.
redacted (b)(6)
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Caesarean section | · | · | ✓ |
| SD | Chalazion | ✓ | ✓ | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Influenza like illness | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Suspected COVID-19 | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Renal pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release