2K3-57748-29484
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 241 / VA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
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2021-01-21
Survey response — day 14, dose 1MedDRA: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria, Pruritus, Swelling, Urticaria — Feeling: GoodFree text: My arm where 1st dose was given started itching, swelled like hives and was very red. This started 9 days after the injection. It lasted 6 days and is only slightly itchy and a little pink now. Should I get the second dose as planned??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
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2021-02-11
Dose 2 — Moderna
- 2021-02-11
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold, Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Skin is sensitive to the touch. Can't get warmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Fever got uo to 101.5 yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-02-16
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2021-03-18
Survey response — day 35, dose 2MedDRA: Diarrhoea, Food poisoning — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Diarrhea for about 12 hours. Probably food poisoning but thought I would let you know.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
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2021-05-13
Survey response — 3 months, dose 2MedDRA: Injection site pain, Injection site pruritus — Feeling: GoodFree text: The injection site on my arm will just out of the blue start itching and feels slightly tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-12
Survey response — 6 months, dose 2MedDRA: Unevaluable event, Urinary tract disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Urological issues. Possibly a kidney stone · Healthcare visit (other): Exam, xray, and ultrasoundMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-12
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: My arm where 1st dose was given started itching, swelled like hives and was very red. This started 9 days after the injection. It lasted 6 days and is only slightly itchy and a little pink now. Should I get the second dose as planned??
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Skin is sensitive to the touch. Can't get warm
Systemic reaction (other): Fever got uo to 101.5 yesterday
Release 5 — day 35, dose 2
Symptoms: Diarrhea for about 12 hours. Probably food poisoning but thought I would let you know.
Release 8 — 3 months, dose 2
Symptoms: The injection site on my arm will just out of the blue start itching and feels slightly tender.
Release 9 — 6 months, dose 2
Symptoms: Urological issues. Possibly a kidney stone
Healthcare visit (other): Exam, xray, and ultrasound
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ○ |
| SD | Food poisoning | ✓ | ✓ | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Injection site urticaria | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ○ |
| SD | Swelling | ✓ | ✓ | ○ |
| SD | Urinary tract disorder | ✓ | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ○ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release