2GU-24981-90063
1 vaccination
3 coded responses
12 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 294 / SC
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Moderna
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2021-03-13
Survey response — day 0, dose 1MedDRA: Feeling abnormal, Feeling hot, Immediate post-injection reaction, Paraesthesia oral, Sensitive skin, Throat irritation, Tongue pruritus — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Tongue and back of throat itched, felt fuzzy within a 11 minutes of receiving shot. Lips felt a little tingly and face felt warm, skin slightly sensitive. Benadryl helped reduce symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-15
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Vaccine positive rechallenge — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Slightly itchy face like when I first had shot and ball of right foot was itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
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2021-03-27
Survey response — day 14, dose 1MedDRA: Axillary pain, Dizziness, Fatigue, Headache, Hypersensitivity, Motion sickness, Rash, Throat irritation — Feeling: Fair · 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: Symptoms: on 3/25 developed arm rash at vaccine location, headache, light headed, motion sickness, fatigue, itchy feeling in back of throat and nasal passage, and slightly around eyes, some pain under arm/armpit area.Taking zyrtec & pepcid for rash&allergy · Healthcare visit (other): Televisit w/allergist 3/22 to discuss allergic reaction to first shot. Getting lab drawMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-03
- 2021-04-10
- 2021-09-11
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Tongue and back of throat itched, felt fuzzy within a 11 minutes of receiving shot. Lips felt a little tingly and face felt warm, skin slightly sensitive. Benadryl helped reduce symptoms.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly itchy face like when I first had shot and ball of right foot was itchy
Release 6 — day 14, dose 1
Symptoms: on 3/25 developed arm rash at vaccine location, headache, light headed, motion sickness, fatigue, itchy feeling in back of throat and nasal passage, and slightly around eyes, some pain under arm/armpit area.Taking zyrtec & pepcid for rash&allergy
Healthcare visit (other): Televisit w/allergist 3/22 to discuss allergic reaction to first shot. Getting lab draw
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Motion sickness | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Tongue pruritus | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release