2CS-24857-29641
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 782 / TX
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
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2021-03-09
Registered in v-safe
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
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2021-03-12
Survey response — day 7, dose 1MedDRA: Pre-existing disease — Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Asthma acting upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 14, dose 1MedDRA: Mass, Rash — Feeling: GoodFree text: Lump on arm plus rash got a little worse but doing betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
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2021-04-02
Dose 2 — Moderna
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Nodule — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Swollen large knot on arm. Worse than first oneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-09
Health check-in — day 7, dose 2Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-16
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2021-04-23
Survey response — day 21, dose 2MedDRA: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus — Feeling: GoodFree text: Where I recieved my shot, I still have a lump and it's still red and hurts, plus itchesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 28, dose 2MedDRA: Injection site erythema, Injection site mass — Feeling: GoodFree text: Still have the knot and redness around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-15
- 2021-07-05
- 2021-10-02
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2022-04-02
Survey response — 12 months, dose 2MedDRA: Asthma, Haemorrhage, Office visit, Peripheral swelling, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I'm having problems with my legs. My calfs swell up and bleed. Doctors don't know whats causing the problem and my asthma and breathing is worse · Healthcare visit (other): Office visits and lots of testsMedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Asthma acting up
Release 6 — day 14, dose 1
Symptoms: Lump on arm plus rash got a little worse but doing better
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen large knot on arm. Worse than first one
Release 7 — day 21, dose 2
Symptoms: Where I recieved my shot, I still have a lump and it's still red and hurts, plus itches
Release 8 — day 28, dose 2
Symptoms: Still have the knot and redness around the injection site
Release 11 — 12 months, dose 2
Symptoms: I'm having problems with my legs. My calfs swell up and bleed. Doctors don't know whats causing the problem and my asthma and breathing is worse
Healthcare visit (other): Office visits and lots of tests
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 | Asthma | · | · | ✓ |
| SD | Haemorrhage | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release