U85-29674-48851
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 774 / TX
- Registered
- 2021-07-07
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-07-01
Dose 1 — Moderna
-
2021-07-07
Registered in v-safe
- 2021-07-08
- 2021-07-15
- 2021-07-22
-
2021-07-29
Dose 2 — Moderna
- 2021-07-29
-
2021-07-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-07-31
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: PainFree text: No appetiteMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-01
- 2021-08-02
- 2021-08-03
- 2021-08-04
- 2021-08-05
- 2021-08-13
- 2021-08-19
-
2021-08-26
Survey response — day 28, dose 2MedDRA: Headache, Oropharyngeal pain — Feeling: GoodFree text: Slight sore throat, and a headache.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-04
Survey response — day 35, dose 2MedDRA: Cough, Ear pain, Fatigue, Oropharyngeal discolouration, Oropharyngeal pain, Tonsillar hypertrophy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat, cough, double ear pain, swollen tonsils, white substance on tonsils, fatigued.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-04
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-11
-
2021-10-28
Survey response — 3 months, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Survey response — 6 months, dose 2MedDRA: Headache, Hypersensitivity, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Headaches, ear allergies... odd conditions that i never had before. · Healthcare visit (other): Regular doc visitMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-31
- 2022-07-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-01 | Moderna | No |
| 2 | 2021-07-29 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): No appetite
Release 9 — day 28, dose 2
Symptoms: Slight sore throat, and a headache.
Release 9 — day 35, dose 2
Symptoms: Sore throat, cough, double ear pain, swollen tonsils, white substance on tonsils, fatigued.
Release 10 — 3 months, dose 2
Symptoms: Dizziness
Release 11 — 6 months, dose 2
Symptoms: Headaches, ear allergies... odd conditions that i never had before.
Healthcare visit (other): Regular doc visit
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 | Cough | ✓ | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Ear pain | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Oropharyngeal discolouration | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Tonsillar hypertrophy | ✓ | · | ✓ |
| SRO | Decreased appetite | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release