2CJ-26740-10033
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 789 / TX
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Health check-in — day 7, dose 1Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-01-28
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-03
Survey response — day 14, dose 1MedDRA: Rash pruritic, Urticaria — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Hives/ Rash continued to spread and very itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-19
- 2021-02-24
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Diabetes mellitus, Increased insulin requirement, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: High blood sugars requiring almost double the amount of normal insulinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: FairFree text: High blood sugar continue to need much larger amounts of insulin than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 7, dose 2MedDRA: Blood glucose increased — Feeling: FairFree text: Higher than normal insulin needs continuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Rash pruritic — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rash over several spots on the body which is very itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
- 2021-03-26
- 2021-04-04
- 2021-04-11
- 2021-04-22
-
2021-08-31
Survey response — 6 months, dose 2MedDRA: Dry mouth, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dry mouth which doesnt go away with water and completely dries at times when exercising. · Healthcare visit (other): Waiting on appointmentMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-31
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-02
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 3 — day 14, dose 1
Symptoms: Hives/ Rash continued to spread and very itchy.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): High blood sugars requiring almost double the amount of normal insulin
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): High blood sugar continue to need much larger amounts of insulin than normal
Release 5 — day 7, dose 2
Systemic reaction (other): Higher than normal insulin needs continues
Release 5 — day 14, dose 2
Symptoms: Rash over several spots on the body which is very itchy.
Release 9 — 6 months, dose 2
Symptoms: Dry mouth which doesnt go away with water and completely dries at times when exercising.
Healthcare visit (other): Waiting on appointment
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Dry mouth | ✓ | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Diabetes mellitus | ✓ | ✓ | ✓ |
| SRO | Increased insulin requirement | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release