2LM-13459-77227
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 305 / GA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
-
2020-12-28
Survey response — day 0, dose 1MedDRA: Palpitations — Feeling: GoodFree text: Heart palpitations mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
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2021-01-11
Survey response — day 14, dose 1MedDRA: Medical counselling, Pain in extremity, Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: The vaccination site started itching on 8th day and there was a swollen area which got red again and spread to about 2 inches in dm. It lasted til the 13th day after vaccine My arm did hurt some on 12 day. Took a few days of antibiotics left over · Healthcare visit (other): I work for doctor and he treated meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-18
-
2021-01-25
Dose 2 — Moderna
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
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2021-04-26
Survey response — 3 months, dose 2MedDRA: Pruritus, Rash — Feeling: GoodFree text: Not sure if related but I have itching to my skin. Different places like hands , feet , legs, arms. Itching comes and goes. No rash at all just itching which started about a month after second vaccine. It does seem not as frequentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-26
-
2022-01-25
Survey response — 12 months, dose 2MedDRA: Tinnitus — Feeling: FairFree text: Ringing in ears that I am now is a result of my vaccinationMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Heart palpitations mild
Release 1 — day 14, dose 1
Symptoms: The vaccination site started itching on 8th day and there was a swollen area which got red again and spread to about 2 inches in dm. It lasted til the 13th day after vaccine My arm did hurt some on 12 day. Took a few days of antibiotics left over cut off by CDC
Healthcare visit (other): I work for doctor and he treated me
Release 8 — 3 months, dose 2
Symptoms: Not sure if related but I have itching to my skin. Different places like hands , feet , legs, arms. Itching comes and goes. No rash at all just itching which started about a month after second vaccine. It does seem not as frequent
Release 11 — 12 months, dose 2
Symptoms: Ringing in ears that I am now is a result of my vaccination
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 | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Vaccination site erythema | ✓ | ✓ | ✓ |
| SD | Vaccination site pruritus | ✓ | ✓ | ✓ |
| SD | Vaccination site swelling | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release