29X-27402-85012
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 851 / AZ
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
-
2021-02-08
Survey response — day 0, dose 1MedDRA: Glossitis, Neck pain, Pruritus — Feeling: Good · Site: Redness · Joint painsFree text: Prickly tongue & mild itching but no rash so far, mild pain in neck on side where I received the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: Pain · HeadacheFree text: TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
-
2021-02-22
Survey response — day 14, dose 1MedDRA: Immunisation reaction, Injection site rash, Medical counselling, Pruritus, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: About a week after my shot , a rash developed at the injection site. Called my Dr & she said its Covid arm. Rash got bigger the next day and was very itchy. Used Benedryl cream then switched to Cortizone10. No fever. Better Today. · Healthcare visit (other): Phone call.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
-
2021-03-08
Survey response — day 0, dose 2MedDRA: Glossitis, Immediate post-injection reaction — Feeling: Good · Site: PainFree text: Slight reactionprickly tongueabout 25 mins after injection. No medical assistance required.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · None · Be unable to workAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-06-07
-
2021-08-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-06
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Prickly tongue & mild itching but no rash so far, mild pain in neck on side where I received the injection
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Tired
Release 4 — day 14, dose 1
Symptoms: About a week after my shot , a rash developed at the injection site. Called my Dr & she said its Covid arm. Rash got bigger the next day and was very itchy. Used Benedryl cream then switched to Cortizone10. No fever. Better Today.
Healthcare visit (other): Phone call.
Release 5 — day 0, dose 2
Systemic reaction (other): Slight reactionprickly tongueabout 25 mins after injection. No medical assistance required.
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Glossitis | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release