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ZUH-12669-94061

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
980 / WA
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-03-03
    Dose 2 — Moderna
  3. 2021-03-10
    Registered in v-safe
  4. 2021-03-10
    Survey response — day 7, dose 2
    MedDRA: Cough, Feeling abnormal, Malaise, Medical counselling — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Brain fog, malaise, a short coughing fit · Healthcare visit (other): Pull up to office, car visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-10
    Report sent to call center — day 7, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-17
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-03-26
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Fatigue, Feeling abnormal, Malaise, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Fatigue, lack of energy, weakness, brain fog, malaise · Healthcare visit (other): In person doctors office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-31
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Hypertension — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Continued fatigue, functioning at a much lower level across the board of regular daily activities. Not able to exercise like I used to. Now have high blood pressure.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-14
    Survey response — day 42, dose 2
    MedDRA: Asthenia, Fatigue, Hypertension, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Still have diminished energy levels and fatigue more easily. Now have high blood pressure · Healthcare visit (other): Doctors office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-14
    Report sent to call center — day 42, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-09-01
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  15. 2022-03-01

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-03Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 7, dose 2

2021-03-10

Systemic reaction (other): Brain fog, malaise, a short coughing fit
Healthcare visit (other): Pull up to office, car visit

Release 6 — day 21, dose 2

2021-03-26

Symptoms: Fatigue, lack of energy, weakness, brain fog, malaise
Healthcare visit (other): In person doctors office visit

Release 6 — day 28, dose 2

2021-03-31

Symptoms: Continued fatigue, functioning at a much lower level across the board of regular daily activities. Not able to exercise like I used to. Now have high blood pressure.

Release 7 — day 42, dose 2

2021-04-14

Symptoms: Still have diminished energy levels and fatigue more easily. Now have high blood pressure
Healthcare visit (other): Doctors office

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
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROMalaise ✓ ✓ ✓

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